MRS. LATEASHA LAKIRA HENDERSON FNP
NPI 1730799800
Nurse Practitioner - Family in Greenville, SC

Q: What is Lateasha Henderson's NPI number?

The NPI number for Lateasha Henderson is 1730799800. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Q: What is Lateasha Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 04, 2020PECOS Enrolled

3901 PELHAM RD, GREENVILLE, SC 29615(864) 288-3672 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Aug 19, 2021, Aug 4, 2020 (3 updates tracked since 2020).

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About Mrs. Lateasha Lakira Henderson Fnp NPPES

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

MRS. LATEASHA LAKIRA HENDERSON FNP (NPI 1730799800) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (24224) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730799800

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LATEASHA LAKIRA HENDERSONCredential: FNP

Location Address3901 PELHAM RDGreenville, SC 29615-5004

Mailing Address3901 Pelham RdGreenville, SC 29615-5004 · (864) 288-3672

Phone(864) 288-3672

Sole ProprietorNo

Enumeration DateAugust 4, 2020

Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1730799800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 24224

3901 PELHAM RD, Greenville, SC 29615

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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)

Mrs. Lateasha Lakira Henderson Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

DEEPA PATEL

Pharmacist