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ADAM HENDERSON
NPI 1356038376
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 19, 2023PECOS Enrolled
142 CHENOWETH LN, LOUISVILLE, KY 40207(502) 897-1616 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adam Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADAM HENDERSON (NPI 1356038376) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356038376
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADAM HENDERSON
Location Address142 CHENOWETH LNLouisville, KY 40207-2651
Mailing Address142 Chenoweth LnLouisville, KY 40207-2651 · (502) 897-1616
Phone(502) 897-1616
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1356038376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 284549 (KY)
142 CHENOWETH LN, Louisville, KY 40207
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Henderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRANDON KENT MILLER DPM
Podiatrist (Foot & Ankle Surgery)
142 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (502) 897-1616
KAITLYN JOAN LOESEL DPM
Student in an Organized Health Care Education/Training Program
142 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (678) 982-0150
FOOT DOCTORS PSC
Podiatrist (Foot & Ankle Surgery)
142 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (502) 897-1616
DR. STORM REED BERMAN DPM
Student in an Organized Health Care Education/Training Program
142 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (954) 707-2722
DR. TIMOTHY C FORD DPM
Podiatrist (Foot & Ankle Surgery)
142 CHENOWETH LN
LOUISVILLE, KY 40207
Jefferson County (502) 897-1616

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 Adam Henderson's NPI number?

The NPI number for Adam Henderson is 1356038376. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Adam Henderson located?

Adam Henderson practices at 142 Chenoweth Ln, Louisville, KY 40207. The listed phone number is (502) 897-1616.

What is Adam Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Adam Henderson enrolled in Medicare?

Yes. Adam Henderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adam Henderson was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.