Individual provider Active NPI

Courtney Moore Henderson, MS, RNC, WHNP

  • Women's Health Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1992724967
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024157456 Issued in VA
Practice address
201 N Hamilton St
Richmond, VA 23221-2601
Phone
(804) 254-1760
Fax
(804) 213-0548
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0001-157456 VA
Women's Health Nurse Practitioner 363LW0102X 0024157456 VA Primary

Addresses

Primary practice location

201 N Hamilton St
Richmond, VA 23221-2601

Mailing address

2817 Hardings Trace LN
Richmond, VA 23233-7000
Phone (804) 360-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521003186 VA Practitioner - Nurse Practitioner 4082979158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Virginia League for Planned ParenthoodGroup PAC ID 5597020768, 16 clinicians

Practice addresses (Care Compare)

201 N Hamilton St
Richmond, VA 23221-2601
Phone (804) 355-4358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001-157456VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Virginia League for Planned Parenthood CurrentSince Mar 11, 2018 Accepting new patients
Virginia League for Planned Parenthood Inc CurrentSince Mar 11, 2018 Accepting new patients

Locations

403 Yale Dr
Hampton, VA 23666
Phone (757) 826-2079

1122 N 25th St
Richmond, VA 23223
Phone (804) 508-6045

201 N Hamilton St
Richmond, VA 23221
Phone (804) 355-4358

515 Newtown Rd
Virginia Beach, VA 23462
Phone (757) 309-4827

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1992724967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 HARDINGS TRACE LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337000",
            "telephone_number": "804-360-9596",
            "fax_number": "804-213-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N HAMILTON ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212601",
            "telephone_number": "804-254-1760",
            "fax_number": "804-213-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "COURTNEY",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "MS, RNC, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0001-157456",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024157456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.