Active NPI
Susan Henderson, FNP-C
- Nurse Practitioner
- Lima, OH
National Provider Identifier
1841285145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP05563
- Practice address
- 830 W High St
Suite 307
Lima, OH 45801-3971 - Phone
- (419) 227-5298
- Fax
- (419) 227-5879
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP05563 | OH | Primary |
Addresses
Primary practice location
830 W High St
Suite 307
Lima, OH 45801-3971
Mailing address
830 W High St
Suite 307
Lima, OH 45801-3971
Phone (419) 227-5298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2189199 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841285145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W HIGH ST",
"address_2": "SUITE 307",
"city": "LIMA",
"state": "OH",
"postal_code": "458013971",
"telephone_number": "419-227-5298",
"fax_number": "419-227-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W HIGH ST",
"address_2": "SUITE 307",
"city": "LIMA",
"state": "OH",
"postal_code": "458013971",
"telephone_number": "419-227-5298",
"fax_number": "419-227-5879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "SUSAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP05563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2189199",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.