DR. KRISTI DAWN HENDERSON MD NPI 1164433298

NPI Information

NPI: 1164433298
Provider Name: DR. KRISTI DAWN HENDERSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1011 S WILLIAM ST
ATLANTA, TX
ZIP 75551
Phone: (903) 796-2868
Get Directions

DR. Kristi Dawn Henderson, MD is a family medicine in Atlanta, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Kristi Dawn Henderson, MD NPI is 1164433298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 S WILLIAM ST
ATLANTA, TX
ZIP 75551-245
Phone: (903) 796-2868
Fax: (903) 796-0826

The NPI 1164433298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		K2922	TEXAS	Yes
2	207Q00000X	Family Medicine		E-2181	ARKANSAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080181190	OTHER		MEDICARE RR
2	119401	OTHER		CHIPS
3	5L214	OTHER	ARKANSAS	BCBS
4	096544403	MEDICAID	TEXAS
5	8F1320	OTHER	TEXAS	BCBS
6	A013	OTHER		CHAMPUS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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