Active NPI
Lindsay Beth Henderson, MD
- Family Medicine Physician
- Butler, MO
National Provider Identifier
1992232631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017013452
- Practice address
- 9 N Main St
Butler, MO 64730-2135 - Phone
- (660) 386-7008
- Fax
- (660) 386-7009
- NPI assigned
- May 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2017013452 | MO | Primary |
Addresses
Primary practice location
9 N Main St
Butler, MO 64730-2135
Mailing address
1102 Country Club Dr
Butler, MO 64730-1981
Phone (785) 342-4603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210096942 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912002633 | MO | Practitioner - Family Practice | 2860765955 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medicine by Dr Henderson LLC
Practice addresses (Care Compare)
9 N Main St PO Box
28 Butler Urgent Medicine
Butler, MO 64730-2135
Phone (660) 386-7008
Hospital & facility affiliations
- Bates County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017013452 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine by Dr Henderson LLC | Current | Accepting new patients | |
| Butler Urgent Medicine | Current | Accepting new patients |
Locations
9 N Main St
Butler, MO 64730
Phone (660) 386-7008
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.
-
- Urgent Care Clinic/Center
- Butler, MO
- NPI 1114515392
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1992232631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 COUNTRY CLUB DR",
"city": "BUTLER",
"state": "MO",
"postal_code": "647301981",
"telephone_number": "785-342-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N MAIN ST",
"city": "BUTLER",
"state": "MO",
"postal_code": "647302135",
"telephone_number": "660-386-7008",
"fax_number": "660-386-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "LINDSAY",
"middle_name": "BETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2017013452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210096942",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butler, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.