Active NPI
Jane Henderson
- Health Educator
- Amelia Court House, VA
National Provider Identifier
1922772896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 16360 Dunn St Ste 202
Amelia Court House, VA 23002-4807 - Phone
- (804) 561-2481
- Fax
- (804) 561-3224
- NPI assigned
- Aug 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
16360 Dunn St Ste 202
Amelia Court House, VA 23002-4807
Mailing address
PO Box 229
Amelia Court House, VA 23002-0229
Phone (804) 561-2481
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1922772896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230020229",
"telephone_number": "804-561-2481",
"fax_number": "804-561-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16360 DUNN ST STE 202",
"city": "AMELIA COURT HOUSE",
"state": "VA",
"postal_code": "230024807",
"telephone_number": "804-561-2481",
"fax_number": "804-561-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amelia Court House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.