Sharon Henderson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101540 Issued in NC

Practice address

3800 Hillsborough St
Carroll Health Center
Raleigh, NC 27607-5237

Phone

(919) 760-8139

Fax

(919) 760-8534

NPI assigned

Jan 10, 2007

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

State licenses

Practice roles

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.

• Meredith College

  • Specialist
  • Raleigh, NC
  • NPI 1194858761
  NPD (past)
• Meredith College Autism Program

  • Developmentally Disabled Services Day Training Agency
  • Raleigh, NC
  • NPI 1679858187
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831248335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 OLD TOM WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HILLSBOROUGH ST",
            "address_2": "CARROLL HEALTH CENTER",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075237",
            "telephone_number": "919-760-8139",
            "fax_number": "919-760-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Henderson, D.O.
• John Wesley Henderson II, DO
• Joshua Mark Henderson, PA-C
• Paul Manning Henderson, M.D.
• Sage Renai Henderson
• Tassy Henderson, NCC, LCMCHA
• Ashley Whitney Hendricks, AGACNP
• Chanyel Latisha Hendricks, LCSWA
• Lauren Hendricks, NP-BC
• Sarah Fulton Hendrickson, PA-C

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.