Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114509650 Individual Practitioner Female Practitioner

Eden Christian Henry

Pediatrics • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Eden Henry is a certified Pediatrics practicing in Gallup, NM. With approximately 5 years of clinical experience since completing medical education in 2021, Eden Henry delivers high-quality medical care to the local community at 516 E NIZHONI BLVD.

Eden Henry does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

516 E Nizhoni Blvd

Gallup, NM 873015748

Telephone 5057221000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gallup, NM

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -0.5 yrs vs City Avg
City Avg: 5.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Gallup, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henry (5 Years) 5 Yrs
Gallup Specialty Average (5.5 Years) 5.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL 175086

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License VT 0420017989

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CO CDR.0005149

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WY TL8632

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License TX V6597

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Johanna Palmgren

Registered Nurse - Administrator

NPI 1003001314
Sandra Skeets , RN

Registered Nurse - Ambulatory Care

NPI 1003009945

Registered Nurse

Jennifer Moore , RN, BSN

Registered Nurse - Medical-Surgical

NPI 1003016460

Registered Nurse, Bachelor of Science in Nursing

Sally Kaufman , RN

Registered Nurse

NPI 1003110537

Registered Nurse

Nancy Davis , RN

Registered Nurse

NPI 1003184201

Registered Nurse

Lorraine Cabrillas , RN

Registered Nurse - Emergency

NPI 1003372004

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 516 E NIZHONI BLVD, GALLUP, NM 873015748 (Tel: 5057221000)

📍
Updated Practice Location August 05, 2024

Registered at 121 MEDICAL VILLAGE DR, NEWPORT, VT 058559834 (Tel: 8023345929)

📍
Updated Business Mailing Address August 05, 2024

Registered at 6102 PRIVATE ROAD 6470, LUBBOCK, TX 794163351 (Tel: 8067894871)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2024

Pediatrics (License #0420017989 in VT)

NPI Profile Active April 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2021

Registered at 1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 282035812 (Tel: 7043816800)

📍
Updated Business Mailing Address April 23, 2021

Registered at 1000 BLYTHE BLVD FL 4, CHARLOTTE, NC 282035812 (Tel: 7043816800)

👤
Provider Name / Credentials Updated April 23, 2021

Recorded as EDEN HENRY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114509650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2021
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

6102 Private Road 6470

Lubbock, TX 794163351

Phone: 8067894871

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.