Brie Chani Henderson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 60200517 Issued in WA

Practice address

5514 NE 107TH Ave Ste 101
Vancouver, WA 98662-6346

Phone

(360) 254-0400

NPI assigned

Jan 25, 2011

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

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brie Chani Henderson

  dba Family & Sports Chiropractic Clinic

  • Chiropractor
  • Vancouver, WA
  • NPI 1730676545
  Medicare reassignment NPD Authorized official
• A Family & Sports Chiropractic Clinic

  • Chiropractor
  • Vancouver, WA
  • NPI 1952779498
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1841595782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 NE 158TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986844161",
            "telephone_number": "360-513-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 NE 107TH AVE STE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626346",
            "telephone_number": "360-254-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRIE",
        "middle_name": "CHANI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 60200517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Peyton Hemming, LMHC 60716745
• Juan Fidel Santiago Henares, LMT
• Susan Christine Hendershot Link, RN, PH.D., PMHCNS-BC
• Corey Henderson Trujillo, DO
• Ashley Josephine Henderson
• Emily Henderson
• Josi L Henderson, LCSW
• Maria Ann Henderson
• Pamela Suzanne Henderson
• Sarah Anne Henderson, M.A., CCC-SLP

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.