Mary L. Henderson, RNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0750348367 WHCNP-PP Issued in OR

Practice address

1395 Liberty St SE
Salem, OR 97302-4273

Phone

(503) 399-2444

Fax

(503) 581-3960

NPI assigned

Jul 27, 2006

Last updated

Oct 25, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1881618163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024273",
            "telephone_number": "503-399-2444",
            "fax_number": "503-581-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024273",
            "telephone_number": "503-399-2444",
            "fax_number": "503-581-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MARY",
        "middle_name": "L.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OR",
            "license": "0750348367 WHCNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000871",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Lorraine Martinez Hemsley
• Lara Lee Hender, FPMHNP
• Christina Henderson-Bassett, LCSW, LMSW
• Christine Diane Henderson
• John Stephen Henderson, LPC
• Shelly Hendricks
• Tara Lynn Hendrickson, RDH, EPDH
• Bradley K Hendrix
• Carol Hendrix, PH.D.
• Dana R Hendry

• Women's Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Women's Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.