Bettina Louise Henderson

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

111 Stokes Rd
Columbus, MS 39702-7541

Phone

(662) 251-5074

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

Yes

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.

• On the Move Transportation

  • Non-emergency Medical Transport (VAN)
  • Columbus, MS
  • NPI 1508351941
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2018.

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1891285607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STOKES RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397027541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STOKES RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397027541",
            "telephone_number": "662-251-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BETTINA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthstat Onsite Clinic MVM Columbia
• Bentrice Stephenson Heard
• Richard Heard, M.D.
• Heart 2 Heart Comfort Homecare LLC
• Heart to Heart Hospice of Columbus LLC
• Annette Laqueta Henley, RN
• Michele Henry, AUD
• Brannon Joseph Herring, OD
• Michael Shane Herring, P.A.
• Kalin Ivy Hewett, PHARMD

• All providers in Columbus, MS
• Driver in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.