Bernardine C Henderson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG0000180 Issued in DE

Practice address

3506 Kennett Pike
Pain Management & Rehabilatative Institute
Wilmington, DE 19807-3019

Phone

(302) 661-3070

Fax

(302) 661-3080

NPI assigned

Jan 30, 2006

Last updated

Feb 22, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1801867585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 KENNETT PIKE",
            "address_2": "PAIN MANAGEMENT & REHABILATATIVE INSTITUTE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198073019",
            "telephone_number": "302-661-3070",
            "fax_number": "302-661-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BERNARDINE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG0000180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303011",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801867585",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Family Delaware LLC
• Helping Hands Family Delaware LLC
• Antoinette S Hemmerich, LPCMH, NCC
• Keishia M. Hemphill, LPCMH
• Andrew A. Henderson, MD
• Candace Henderson
• Richard William Henderson, M.D.
• Christina B. Hendler, APN
• Yolanda Y Hendley, MD
• Dorothy H. Hendricks, MD

• Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.