Brandy Henderson Aprn LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BRANDY HENDERSON APRN LLC

Practice address

15150 Cronewood LN
Memphis, IN 47143-9417

Phone

(812) 786-6639

NPI assigned

Nov 22, 2014

Last updated

Feb 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy M Henderson, APRN

Title

Owner

Phone

(812) 786-6639

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1801293683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15150 CRONEWOOD LN",
            "city": "MEMPHIS",
            "state": "IN",
            "postal_code": "471439417",
            "telephone_number": "812-786-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 CRONEWOOD LN",
            "city": "MEMPHIS",
            "state": "IN",
            "postal_code": "471439417",
            "telephone_number": "812-786-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDY HENDERSON APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-786-6639",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000909082",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100321840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney A Beckman, OTR/L
• Stacy Collins, OTR
• Darward Anthony Henderson, PT
• Michael Lynch, ATC
• Donna J Merk
• Julia Overton, NP

• Family Nurse Practitioner in Memphis, IN
• Providers in Memphis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.