Lucinda Monica Henry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

210 Lake Rd Ste 600
Lake Jackson, TX 77566-4982

Phone

(979) 297-7337

Fax

(979) 266-9076

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: lhenry456890@direct.stlukeshealth.org

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.

• Bottenfield Pediatric Associates, PLLC

  • Pediatrics Physician
  • Lake Jackson, TX
  • NPI 1710540513
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1972685113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 THAT WAY ST STE A-1",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665211",
            "telephone_number": "979-297-7337",
            "fax_number": "979-266-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE RD STE 600",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664982",
            "telephone_number": "979-297-7337",
            "fax_number": "979-266-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Flag Lake Plz",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775666263",
            "country_code": "US",
            "telephone_number": "979-297-8439",
            "fax_number": "979-297-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LUCINDA",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Heimeyer
• Help Home Primary Care, PLLC
• Helping Hands and Hearts Hospice
• Stacie Lynette Henke, MS,CCC-SLP
• Henry E. Martinez MD, PA
• James S. Henson Jr., D.D.S.
• Jasmine S Hernandez
• Marcus Frederic Herns, LAC, DOM
• Stephanie Jo Herrera, MD
• Barbara Herrington, NURSE PRACTITIONER

• Medical Physician Assistant in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.