CHRISTOPHER TODD HENDERSON NP NPI 1114300845

NPI Information

NPI: 1114300845
Provider Name: CHRISTOPHER TODD HENDERSON, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SPARTANBURG MEDICAL CENTER

PECOS Registration: Yes

Address:
151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301
Phone: (864) 562-9627
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Christopher Todd Henderson, NP is a family nurse practitioner in Spartanburg, SC with 9 years of experience. Christopher Todd Henderson, NP NPI is 1114300845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

151 PEACHWOOD CENTRE DR
SPARTANBURG, SC
ZIP 29301-575
Phone: (864) 562-9627
Fax: (864) 560-5470

The NPI 1114300845 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 6/30/2015 and was last updated on 3/24/2021.

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	163W00000X	Registered Nurse		209578	SOUTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	19769	SOUTH CAROLINA	Yes

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	P01577397	OTHER	SOUTH CAROLINA	RAILROAD MEDICARE
2	SC7024J577	OTHER	SOUTH CAROLINA	MEDICARE PIN
3	SC70246067	OTHER	SOUTH CAROLINA	MEDICARE PIN
4	SC70246121	OTHER	SOUTH CAROLINA	MEDICARE PIN
5	NP3439	MEDICAID	SOUTH CAROLINA
6	SC70246084	OTHER	SOUTH CAROLINA	MEDICARE PIN

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: 11/14/2023

NPI Synchronization or Removal

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