Individual provider Active NPI

Julie Lachelle Henderson, NP

  • Family Nurse Practitioner
  • McKee, KY
National Provider Identifier
1871864876
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014269 Issued in KY
Practice address
1010 Main St S
MC Kee, KY 40447-7089
Phone
(859) 626-7700
Fax
(859) 626-7890
NPI assigned
Jan 23, 2012
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16124 TN
Family Nurse Practitioner 363LF0000X 3014269 KY Primary

Addresses

Primary practice location

1010 Main St S
MC Kee, KY 40447-7089

Mailing address

1010 Main St S
MC Kee, KY 40447-7089
Phone (859) 626-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 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

Enrollment IDStateProvider typePAC IDDetails
I20120402000296 TN Practitioner - Nurse Practitioner 9335309186 Reassigns benefits to 1 organization
I20200709002162 KY Practitioner - Nurse Practitioner 9335309186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Help IncorporatedGroup PAC ID 8224946561, 43 clinicians

Practice addresses (Care Compare)

30 Stacy Lane Rd
Irvine, KY 40336-7356
Phone (606) 723-0665

305 Estill St
Berea, KY 40403-1742
Phone (859) 986-1415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16124TNMDPhysical Medicine & Rehabilitation Physician
3014269KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Help Incorporated CurrentSince Jul 27, 2020 Accepting new patients
Health Help Incorporated CurrentSince Jul 27, 2020 Accepting new patients
Rutherford County Primary Care Family CurrentSince Apr 9, 2012 Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Incorporated Current Accepting new patients
Health Help Inc Past Accepting new patients

Locations

104 Legacy Dr
Berea, KY 40403
Phone (858) 986-2323

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

30 Stacy Lane Rd
Irvine, KY 40336
Phone (606) 723-0665

103 Southern Soul Way
Lancaster, KY 40444
Phone (855) 942-7787

1010 Main St S
McKee, KY 40447
Phone (606) 287-7104

116 Progress Dr
Mount Vernon, KY 40456
Phone (606) 256-2143

480 Main St
Paint Lick, KY 40461
Phone (859) 925-2444

401 Highland Park Dr
Richmond, KY 40475
Phone (859) 626-7700

1453 Hope Way
Murfreesboro, TN 37129
Phone (615) 893-9390

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1871864876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST S",
            "city": "MC KEE",
            "state": "KY",
            "postal_code": "404477089",
            "telephone_number": "859-626-7700",
            "fax_number": "859-626-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JULIE",
        "middle_name": "LACHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKee, KY

Sources for this page

Verify at the official NPI Registry.