Active NPI
Janeen D Henderson, CNP
- Women's Health Nurse Practitioner
- Fullerton, CA
National Provider Identifier
1942359740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP5683
- Practice address
- 2262 N State College Blvd
Fullerton, CA 92831-1361 - Phone
- (714) 990-2900
- Fax
- (714) 990-3133
- NPI assigned
- Jan 9, 2007
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NP5683 | CA | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 317724 | CA |
Addresses
Primary practice location
2262 N State College Blvd
Fullerton, CA 92831-1361
Mailing address
2262 N State College Blvd
Fullerton, CA 92831-1361
Phone (714) 990-2900
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
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317724 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
| NP5683 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Women's Health | Past | Accepting new patients | |
| Bastanchury Heights Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Bastanchury Heights Medical Group, Center for Women's Health Care
- Obstetrics & Gynecology Physician
- Fullerton, CA
- NPI 1972664258
-
- Obstetrics & Gynecology Physician
- Fullerton, CA
- NPI 1124202593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1942359740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2262 N STATE COLLEGE BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311361",
"telephone_number": "714-990-2900",
"fax_number": "714-990-3133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2262 N STATE COLLEGE BLVD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311361",
"telephone_number": "714-990-2900",
"fax_number": "714-990-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JANEEN",
"middle_name": "D",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "NP5683",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "317724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.