Paul Walter Henderson

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

RCP2642 Issued in MS

Practice address

100 Hospital St
Booneville, MS 38829-3354

Phone

(662) 720-5000

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1902071632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COUNTY ROAD 1250",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297414",
            "telephone_number": "662-720-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293354",
            "telephone_number": "662-720-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PAUL",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "MS",
            "license": "RCP2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Latice Harvey-Cooper, LPC
• Desiree Brooke Haugh, NP-C
• Beth Haynes, R.N.
• Health Care Plus
• Heart to Heart Hospice of Booneville LLC
• Hill Family Eye Center, Inc
• Adam Tate Hill, O.D.
• Hooper Transportation LLC
• John L Hooper
• Lori Bolen Horn, RPH

• Registered Respiratory Therapist in Booneville, MS
• Providers in Booneville, MS by specialty
• Registered Respiratory Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.