Emilie M Henderson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

9418490 Issued in FL

Practice address

1250 S 18TH St
Fernandina Beach, FL 32034-1902

Phone

(770) 906-0029

NPI assigned

Feb 7, 2011

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 names 1

• Emilie M Wyble Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Amelia Anesthesia, PL

  • Anesthesiology Physician
  • Fernandina Beach, FL
  • NPI 1508103540

  FL

  Medicare reassignment NPD
• Riverside Anesthesia Services, LLC

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
  • NPI 1134478209

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sunbelt Anesthesia Services, LLC

  • Anesthesiology Physician
  • Ponte Vedra, FL
  • NPI 1205172079

  FL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sunbelt Visiting Primary Care LLC

  • Primary Care Clinic/Center
  • Jacksonville, FL
  • NPI 1598278707
  NPD (past)

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1891091971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96022 OCEAN BREEZE WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320348489",
            "telephone_number": "770-906-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341902",
            "telephone_number": "770-906-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96022 Ocean Breeze Way",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320348489",
            "country_code": "US",
            "telephone_number": "904-670-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EMILIE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9418490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "WYBLE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Brooke Harris, OTR/L
• Megan Harris, PA-C
• Ruth Phillips Harrison, MS OTR/L
• Nancy Hart, PA
• Lester N Hauge, M.D.
• Adrienne P Henn
• Summer Herd, NBC-HWC
• Darianny Hernandez
• Patrick M. Herwig
• Jane Herzog, CRNA

• All providers in Fernandina Beach, FL
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.