Mariah Henderson, PA
NPI 1104376904 · Physician Assistant · Medford, MA
Mariah Henderson, PA is a Physician Assistant provider in Medford, MA (NPI 1104376904).
Provider details
- NPI number
- 1104376904
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA5908 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2020-03-23
- Certified
- 2020-03-23
Frequently asked questions
- What is Mariah Henderson's NPI number?
- Mariah Henderson's National Provider Identifier (NPI) is 1104376904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariah Henderson's specialty?
- Mariah Henderson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mariah Henderson located?
- Mariah Henderson's practice location on file with NPPES is 124 Professors Row, Medford, MA 02155-5816.
- What is Mariah Henderson's phone number?
- The practice phone number listed in the NPPES registry for Mariah Henderson is (617) 627-7947.
- Is Mariah Henderson's NPI active?
- Yes — Mariah Henderson's NPI (1104376904) is active in the NPPES registry as of the last update on 2020-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.