Berta Ruth Henderson
Licensed Practical Nurse • Groveton, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Berta Henderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Berta Henderson was a registered Licensed Practical Nurse practicing in Groveton, TX. Throughout an active medical career spanning 4 years, Berta Henderson provided care at the practice location at 434 LAKEVIEW until profile deactivation on 2022-09-16.
Practice Location & Contact Primary Location
434 Lakeview
Groveton, TX 75845
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Groveton, TX
Practicing in Groveton, TX (727 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 16, 2022
NPI status registered as active in NPPES database
Registered at 434 LAKEVIEW, GROVETON, TX 75845 (Tel: 9362221744)
Registered at PO BOX 383, CROCKETT, TX 75835 (Tel: 9362221744)
Recorded as BERTA HENDERSON
Licensed Practical Nurse (License #118013 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 383
Crockett, TX 75835
Phone: 9362221744
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