Active NPI
Valerie Henderson
- Licensed Practical Nurse
- Hornell, NY
National Provider Identifier
1831919869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 301586-01
- Practice address
- 7309 Seneca Rd N
Hornell, NY 14843-9691 - Phone
- (607) 282-5200
- Fax
- (585) 335-5061
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 301586-01 | NY | Primary |
Addresses
Primary practice location
7309 Seneca Rd N
Hornell, NY 14843-9691
Mailing address
PO Box 131
Alexander, NY 14005-0131
Phone (585) 815-9182
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161039939 | Medicaid | NY | |
| 161039939 | Other | NY | ALL OTHER INSURANCES |
Other names 1
- Valerie Russell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vhenderson@casa-trinity.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301586-01 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1831919869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 131",
"city": "ALEXANDER",
"state": "NY",
"postal_code": "140050131",
"telephone_number": "585-815-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 SENECA RD N",
"city": "HORNELL",
"state": "NY",
"postal_code": "148439691",
"telephone_number": "607-282-5200",
"fax_number": "585-335-5061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "VALERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "301586-01",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161039939",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCES",
"identifier": "161039939",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vhenderson@casa-trinity.org",
"affiliation": "N",
"endpointDescription": "Personal Email Address",
"address_1": "7309 Seneca Rd N",
"city": "Hornell",
"state": "NY",
"country_code": "US",
"postal_code": "148439691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "RUSSELL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hornell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.