Active NPI
Stacey Faye Henson, LPN
- Licensed Practical Nurse
- Dover, TN
National Provider Identifier
1902403215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 84371
- Practice address
- 1021 Spring St
Dover, TN 37058-3302 - Phone
- (931) 232-5329
- NPI assigned
- Oct 8, 2020
- Last updated
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 84371 | TN | Primary |
Addresses
Primary practice location
1021 Spring St
Dover, TN 37058-3302
Mailing address
254 Onion Hill Rd
Dover, TN 37058-1410
Phone (931) 305-1925
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Stacey.henson@tn.gov | ||
| Direct Messaging Address | stacey.henson@tn.gov | ||
| Other URL | stewartcogov.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84371 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1902403215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 ONION HILL RD",
"city": "DOVER",
"state": "TN",
"postal_code": "370581410",
"telephone_number": "931-305-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SPRING ST",
"city": "DOVER",
"state": "TN",
"postal_code": "370583302",
"telephone_number": "931-232-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "STACEY",
"middle_name": "FAYE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "84371",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Stacey.henson@tn.gov",
"affiliation": "N",
"address_1": "1021 Spring St",
"city": "Dover",
"state": "TN",
"country_code": "US",
"postal_code": "370583302",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "stacey.henson@tn.gov",
"affiliation": "N",
"address_1": "1021 Spring St",
"city": "Dover",
"state": "TN",
"country_code": "US",
"postal_code": "370583302",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "stewartcogov.com",
"affiliation": "N",
"address_1": "1021 Spring St",
"city": "Dover",
"state": "TN",
"country_code": "US",
"postal_code": "370583302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dover, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.