Active NPI
Michael Richard Henning, ANP-C
- Adult Health Nurse Practitioner
- Chesterfield, VA
National Provider Identifier
1821281692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0024167468
- Practice address
- 11901 Reedy Branch Rd
Chesterfield, VA 23838-4235 - Phone
- (804) 896-1499
- Fax
- (804) 590-1872
- NPI assigned
- Aug 24, 2007
- Last updated
- Mar 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0024167468 | VA | Primary |
Addresses
Primary practice location
11901 Reedy Branch Rd
Chesterfield, VA 23838-4235
Mailing address
11901 Reedy Branch Rd
Chesterfield, VA 23838-4235
Phone (804) 896-1499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014219829 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024167468 | VA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Kidney Specialists | Current | Accepting new patients | |
| Arthritis Specialists, LTD. | Past | Accepting new patients |
Locations
3400 S Crater Rd
Ste B
Petersburg, VA 23805
Phone (804) 733-6960
201 E Ferrell St
South Hill, VA 23970
Phone (434) 647-3455
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Petersburg, VA
- NPI 1033130026
-
- Rheumatology Physician
- North Chesterfield, VA
- NPI 1710983580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1821281692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11901 REEDY BRANCH RD",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238384235",
"telephone_number": "804-896-1499",
"fax_number": "804-590-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11901 REEDY BRANCH RD",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238384235",
"telephone_number": "804-896-1499",
"fax_number": "804-590-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "MICHAEL",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-24",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "VA",
"license": "0024167468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2014219829",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.