Kathleen M Henderson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD07374 Issued in RI

Practice address

1 Commerce St
Internal Medicine
Lincoln, RI 02865-1168

Phone

(401) 793-8500

Fax

(401) 793-8511

NPI assigned

Jun 27, 2005

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1841296597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST",
            "address_2": "INTERNAL MEDICINE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651168",
            "telephone_number": "401-793-8500",
            "fax_number": "401-793-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMERCE ST",
            "address_2": "INTERNAL MEDICINE",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651168",
            "telephone_number": "401-793-8500",
            "fax_number": "401-793-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD07374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002148",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.henderson.1@10.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address (EMR)",
            "address_1": "1 Commerce St",
            "address_2": "Internal Medicine",
            "city": "Lincoln",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028651168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healthadvisors LLC
• Healthcentric, LLC
• Hear for You Audiology & Hearing Aid Services LLC
• Hear for You Hearing & Balance Center LLC
• Michael David Hein, M.D.
• Aldora Hepel, D.D.S
• Rebecca Hermann
• Ada Hernandez
• Michelle Mackie Hervieux, LCSW
• Highland Dental Group, Inc

• Internal Medicine Physician in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.

Verify at the official NPI Registry.