Desiree Antwanette Henry

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

6033 Trenton Dr
Flint, MI 48532

Phone

(810) 399-7036

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1962263566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6033 TRENTON DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 TRENTON DR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-399-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DESIREE",
        "middle_name": "ANTWANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Ford Health Genesys Hospital (Genesys Downtown IM)
• Henry Ford Health Genesys Hospital (Downtown Health Center -OBGYN)
• Henry Ford Health Genesys Hospital (Downtown Health Center-Podiatry)
• Henry Ford Health Genesys Hospital (Genesys Downtown-Surgery)
• Henry P Mendoza MD PC (Diagnostic Care Associates)
• Julie Breanne Henry, PA-C
• Kiara Henry
• Patrick N Henry, MSW
• Linda Henson
• John Hepburn

• Chore Provider in Flint, MI
• Providers in Flint, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.