CARRIE ANN HENDERSON M.D. – NPI #1992705016
Pediatrics

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.

CARRIE HENDERSON is a physician located in FERRIDAY, LA. NPPES has assigned the NPI number 1992705016 to CARRIE HENDERSON on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name CARRIE BONOMO. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 4 years ago on Dec 21, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARRIE HENDERSON below.

NPI Profile for
CARRIE A. BONOMO

NPI Number
1992705016
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CARRIE A. BONOMO
Professional Name: CARRIE ANN HENDERSON
Credentials
M.D.
Primary location
204 SERIO BLVD
FERRIDAY, LA 71334
Phone: (318) 757-8010 Fax: (318) 757-9501
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CARRIE HENDERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1160059
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
LA 026732

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.