Individual provider Active NPI

Sandra Lee-Henley

  • Specialist
  • Newport News, VA
National Provider Identifier
1922305234
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0019007214 Issued in VA
Practice address
12255 Hornsby LN
Newport News, VA 23602-6987
Phone
(757) 534-8056
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0019007214 VA Primary

Addresses

Primary practice location

12255 Hornsby LN
Newport News, VA 23602-6987

Mailing address

14264 Old Courthouse Way
# 24
Newport News, VA 23602-3701
Phone (757) 534-8056

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

LicenseStateTypeSpecialty
0019007214VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1922305234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14264 OLD COURTHOUSE WAY",
            "address_2": "# 24",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236023701",
            "telephone_number": "757-534-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 HORNSBY LN",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236026987",
            "telephone_number": "757-534-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE-HENLEY",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019007214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.