THERESE HENRY
NPI 1083132161
Nurse Practitioner - Pediatrics in Centralia, WA
About Therese Henry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESE HENRY (NPI 1083132161) is an individual pediatrics provider in Centralia, Washington, licensed in Washington (AP60911627) and active in the NPI registry since September 2017. She has opted out of Medicare through April 20, 2028 and remains eligible to order and refer and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Therese Henry has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 20, 2022 through April 20, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTRALIA, WA 98531
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Therese Henry's NPI number?
The NPI number for Therese Henry is 1083132161. It was assigned to this individual provider in the NPPES registry on September 8, 2017. The provider is also known as Therese Hampton.
Where is Therese Henry located?
Therese Henry practices at 1911 Cooks Hill Rd, Centralia, WA 98531. The listed phone number is (360) 736-6778.
What is Therese Henry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Therese Henry enrolled in Medicare?
No. Therese Henry has opted out of Medicare through April 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Therese Henry was last updated on January 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Therese Henry · NPI 1083132161
Pediatrics physician in Centralia, Washington. Individual provider, active in the CMS NPPES registry since September 8, 2017.
## Identity
- **NPI:** 1083132161 (Entity type: Individual)
- **Enumerated:** September 8, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP60911627 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1911 COOKS HILL RD, Centralia, WA 98531-9073
- **Phone:** (360) 736-6778 · **Fax:** (360) 736-6552
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 20, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** January 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083132161) · Data from the CMS NPPES public registry.