Jennifer Henderson

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

9823 Charles St
Omaha, NE 68114-2125

Phone

(402) 718-6983

NPI assigned

Mar 27, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1821890955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 S 77TH ST",
            "city": "RALSTON",
            "state": "NE",
            "postal_code": "681274202",
            "telephone_number": "531-200-0563",
            "fax_number": "531-867-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9823 CHARLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142125",
            "telephone_number": "402-718-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Yvonne Henderson
• Demetria Annette Henderson
• Deshan Diane Henderson
• Glynis Katherine Henderson, APRN
• Jaci Henderson, M.S., CF- SLP
• Kamaya Henderson
• Kathryn Henderson, DO
• Kimberly S Henderson, LMHP LADC
• Kristen Henderson, M.S. CCC-SLP
• Kristen Henderson

• Developmental Disabilities Clinic/Center in Omaha, NE
• Providers in Omaha, NE by specialty
• Developmental Disabilities Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.