Linda Katherine Henderson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5671 Issued in CO

Practice address

1551 Professional LN
Suite 235
Longmont, CO 80501-6972

Phone

(720) 494-4700

Fax

(720) 494-4706

NPI assigned

Aug 13, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Colorado Center for Arthritis and Osteoporosis

  • Rheumatology Physician
  • Longmont, CO
  • NPI 1013018001
  NPD (past)
• Pacific Lutheran University

  • Family Nurse Practitioner
  • Tacoma, WA
  • NPI 1306915053
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1861404063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN",
            "address_2": "SUITE 235",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 PROFESSIONAL LN",
            "address_2": "SUITE 235",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016972",
            "telephone_number": "720-494-4700",
            "fax_number": "720-494-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LINDA",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "5671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94836850",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Lynn Heimsoth, LCSW
• Erin Lynn Hellerstedt, PA
• Kerri Ann Hendershot
• Karen Weir Henderson, LPC
• Lara K. Henderson, LMT, CLT
• Silas Grant Hendrich, MFT-C
• Anne Henry, R.N.
• Heather Hensley, BCBA
• Bethany Marie Hentkowski
• Kalee Herbst

• Family Nurse Practitioner in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.