Nichole Henry, CMF

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

License

C70683 Issued in CA

Practice address

6620 Coyle Ave Ste 301
Carmichael, CA 95608-6337

Phone

(916) 671-3417

Fax

(916) 241-9344

NPI assigned

May 6, 2024

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

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1871340893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 PENNEY WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080937",
            "telephone_number": "530-410-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 301",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "916-671-3417",
            "fax_number": "916-241-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NICHOLE",
        "credential": "CMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": "CA",
            "license": "C70683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna C Hembree
• Jonathan Arn Hemphill, MD
• Destanie B Henderson, RADT
• Monique Christine Henderson
• Stephen Scott Henrichon, MD
• Eva Marie Henson
• John Lazarus Henson III, D.D.S.
• Helia Heravy
• Teresita Capa Hernandez-Thorpe
• Coryn Ann Hernandez

• Mastectomy Fitter in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Mastectomy Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.