MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) – Family Nurse Practitioner, NPI 1164727319

MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) is a healthcare provider. based in Bedford, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP, PMH-NP. They hold a License No. RN.365153 (OH). The NPI Number for MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) is 1164727319

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)
NPI
1164727319
Phone
(440) 735-3900
Address
44 BLAINE AVE
Enumeration Date
19 January 2011
Last Update Date
23 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304344141
Graduation Year
2019 (7 years ago)
PAC ID
7911337845
Group Practice PAC ID
8022061142
Professional Enrollment ID
I20200416003714
Address ID
OH443052421AK725XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:15State licenses:3Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)

  • 44 BLAINE AVE

    BEDFORD, OH 441462709

    Phone: (440) 735-3900

    Type: Mailing

  • 725 E MARKET ST

    AKRON, OH 443052421

    Phone: (330) 434-4141

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Indivior Inc. ($36).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$36
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200416003714INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44146)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022061142View full group profile
NameSpecialtyState
Emergency Medicine, Addiction MedicineOH
-OH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Psychiatry, NeuropsychiatryOH
Mental Health CounselorOH
-OH
-OH
Mental Health CounselorOH

Reviews

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Frequently asked questions

Does MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) have a public NPI I can cite?
Public records show MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) under NPI 1164727319.
Is MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)'s NPI status active today?
Active status means MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)'s NPI record is not deactivated in the public file.
What does the directory say MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) does?
Insurance directories may phrase it differently, but here MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)?
MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP) shows a connection to Bedford, Ohio in registry-derived data.
Why is information missing for MRS. LATOYA SHANTA HENDERSON (APRN, FNP, PMH-NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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