Grace M Henderson, WHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71012237A Issued in IN

Practice address

6940 Michigan Rd
Indianapolis, IN 46268-2800

Phone

(812) 325-3264

NPI assigned

Feb 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Grace M Salisbury Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1932852548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 LONG LAKE LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462356127",
            "telephone_number": "812-325-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 MICHIGAN RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682800",
            "telephone_number": "812-325-3264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 W 38th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542995",
            "country_code": "US",
            "telephone_number": "812-325-3264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "GRACE",
        "middle_name": "M",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "IN",
            "license": "28223347A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012237A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "SALISBURY",
            "middle_name": "M",
            "credential": "WHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Henderson, SLP
• Danielle R Henderson, PHD
• David Lee Henderson, RPH
• Erica Henderson, MD
• Evan Patrick Henderson, DPT
• Gregory H Henderson, MD
• Hannah Henderson, CPNP-PC
• Howard Henderson
• Jason S. Henderson, DO
• Joniece Henderson

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.