Marina Henry

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A004148 Issued in AR

Practice address

415 Hospital Dr
Camden, AR 71701-4615

Phone

(870) 836-5013

Fax

(870) 836-7961

NPI assigned

Jul 28, 2014

Last updated

Jul 28, 2014By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marina K Henry Aprn PA

  dba Advanced Practice Clinic

  • Adult Health Nurse Practitioner
  • Camden, AR
  • NPI 1184028771
  Authorized official Same address or phone

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1912315490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013",
            "fax_number": "870-836-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOSPITAL DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014615",
            "telephone_number": "870-836-5013",
            "fax_number": "870-836-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004148",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004148",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthware Respiratory Services, Inc
• Helt Co
• Katherine Elizabeth Henderson, COTA
• Whitley Henderson
• Wilfer Henderson
• Allanna Marie Henton
• Kanesha Sarnel Hickman
• Callie Hildreth, MHPP
• Holly Hinton, CCC-SLP
• Kyle Hively, PHARMD

• Acute Care Nurse Practitioner in Camden, AR
• Providers in Camden, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.