Active NPI
Alysia Dawn Henderson, MS
- Case Manager/Care Coordinator
- South San Francisco, CA
National Provider Identifier
1972010197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 403 W Orange Ave
South San Francisco, CA 94080-4443 - Phone
- (408) 838-1834
- NPI assigned
- Jan 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
403 W Orange Ave
South San Francisco, CA 94080-4443
Mailing address
2024 Clarmar Way Apt 8
San Jose, CA 95128-1709
Phone (408) 838-1834
Other practice location 1
2198 Cayuga Ave
San Francisco, CA 94112-4023
Phone (408) 838-1834
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Care Group, Inc. | Past | Accepting new patients | |
| The Unity Care Group | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1699297614
-
- Community/Behavioral Health Agency
- South San Francisco, CA
- NPI 1578053377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972010197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 CLARMAR WAY APT 8",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281709",
"telephone_number": "408-838-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W ORANGE AVE",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940804443",
"telephone_number": "408-838-1834"
}
],
"practiceLocations": [
{
"address_1": "2198 Cayuga Ave",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941124023",
"country_code": "US",
"telephone_number": "408-838-1834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "ALYSIA",
"middle_name": "DAWN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.