Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Lisa Renee Henderson, AGNP-C
Nurse Practitioner in Lewiston, ID · enumerated 2017.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1912419243
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Registry record
Entity type Individual (Type 1)
Name Mrs. Lisa Renee Henderson
Credential AGNP-C
Sex Female
Practice address 415 Sixth St., Cardiology Department, Lewiston, ID, 83501
Phone (208) 750-7507
Fax (208) 750-7384
Enumeration date Oct 26, 2017
Last updated in NPPES Nov 14, 2019
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 57109 (ID) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Lisa Henderson practice?
The practice location on file with NPPES is in Lewiston, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Lisa Henderson?
The National Provider Identifier (NPI) for Lisa Henderson is 1912419243, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-11-14.