Amber Briana Henegar, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN0000085347 Issued in TN

Practice address

124 Hughes Rd
Watauga, TN 37694-3147

Phone

(423) 707-4255

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By the provider in NPPES

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

Other names 1

• Amber Briana Leonard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1861097651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HUGHES RD",
            "city": "WATAUGA",
            "state": "TN",
            "postal_code": "376943147",
            "telephone_number": "423-707-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HUGHES RD",
            "city": "WATAUGA",
            "state": "TN",
            "postal_code": "376943147",
            "telephone_number": "423-707-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEGAR",
        "first_name": "AMBER",
        "middle_name": "BRIANA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "LPN0000085347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "LPN0000085347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "LEONARD",
            "middle_name": "BRIANA",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jonathan Lyons
• The Best of Care, LLC.

• Licensed Practical Nurse in Watauga, TN
• Providers in Watauga, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.