Tamara M Henry, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

340690 Issued in NY

Practice address

6 Gramatan Ave Ste 625
Mount Vernon, NY 10550-3208

Phone

(201) 654-1531

Fax

(201) 643-6645

NPI assigned

Jul 25, 2016

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ria Health PCGroup PAC ID 6204235682, 16 clinicians

Hicksville Family Medical Care PLLCGroup PAC ID 7416290564, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: tamara.henry.1@16211.direct.athenahealth.com
• Direct secure messaging: tamara.henry@suwmc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hicksville Family Medical Care, PLLC

  dba Nao Medical

  • Family Medicine Physician
  • Mineola, NY
  • NPI 1770813792
  Medicare reassignment Care Compare group NPD
• Ria Health PC

  • Addiction Medicine (Internal Medicine) Physician
  • San Francisco, CA
  • NPI 1326539404

  FL

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Pure Bliss Family Health NP and RN PLLC

  • Family Medicine Physician
  • Hempstead, NY
  • NPI 1306590575
  Authorized official Same address or phone
• JPR Urgent Medical Care

  dba Statcare

  • Urgent Care Clinic/Center
  • Hicksville, NY
  • NPI 1114172848
  NPD (past)
• Statcare Urgent & Walk in Medical Care PLLC

  dba Nao Medical

  • Urgent Care Clinic/Center
  • Mineola, NY
  • NPI 1336426667
  NPD (past)

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1841743911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 RIVER MEWS LN",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070203113",
            "telephone_number": "516-655-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 625",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "201-654-1531",
            "fax_number": "201-643-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 River Mews Ln",
            "address_purpose": "LOCATION",
            "city": "Edgewater",
            "state": "NJ",
            "postal_code": "070203114",
            "country_code": "US",
            "telephone_number": "516-655-3684",
            "fax_number": "516-548-6920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "524 W 59th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191007",
            "country_code": "US",
            "telephone_number": "212-237-8052",
            "fax_number": "201-917-5358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F04293-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04830113",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Henriques
• Cezanne Henriquez
• Demora Henry
• Helen Sybil Henry, MS
• Sherene Stacey-Ann Henry, MS, LMHC, NCC
• Venese Henry
• Heritage Medical Supply Inc
• Sonia Herzenberg-Kleinman, LCSW
• Bailey Herzfeld
• Tara Heslin-Scott

• Family Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.
• 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.