Kathi Lee Henderson, ARNP

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

20091470 Issued in OK

Practice address

1513 N Randall Ave
Elk City, OK 73644

Phone

(580) 225-4466

Fax

(580) 225-2417

NPI assigned

Dec 14, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathi.henderson@pfp1.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farmers Union Hospital Association

  • General Acute Care Hospital
  • Elk City, OK
  • NPI 1184639122
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Paul Firth MD PC

  • Pediatrics Physician
  • Elk City, OK
  • NPI 1568525558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1780913129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 N RANDALL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736441407",
            "telephone_number": "580-225-4466",
            "fax_number": "580-225-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 N RANDALL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-225-4466",
            "fax_number": "580-225-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "OK",
            "license": "20091470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Medical and Home Health Inc
• Colby Helffrich
• Chanda Helton, CMT
• Henderson Anesthesia PC
• Benjamin Mark Henderson
• Robert Henderson, MD
• Torrie Henderson
• Henry T Horrilleno MD PA
• Jennifer Marie Herzberg
• Angie L Hester

• Pediatric Clinical Nurse Specialist in Elk City, OK
• Providers in Elk City, OK by specialty
• Pediatric Clinical Nurse Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.