What is Eden Henry's NPI number?

Eden Henry's National Provider Identifier (NPI) is 1114509650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Eden Henry's specialty?

Eden Henry is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Eden Henry located?

Eden Henry's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.

What is Eden Henry's phone number?

The practice phone number listed in the NPPES registry for Eden Henry is (505) 722-1000.

Does Eden Henry accept Medicare?

Eden Henry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Eden Henry's NPI active?

Yes — Eden Henry's NPI (1114509650) is active in the NPPES registry as of the last update on 2025-09-29.

IndividualActiveAccepts Medicare

Eden Henry

NPI 1114509650 · Pediatrics Physician · Gallup, NM

Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Eden Henry is a Pediatrics Physician provider in Gallup, NM (NPI 1114509650).

Provider details

NPI number: 1114509650
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No
License: 0420017989 (VT)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 175086 (FL)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 0420017989 (VT)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense CDR.0005149 (CO)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense TL8632 (WY)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense V6597 (TX)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 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

516 E Nizhoni Blvd

Gallup, NM 87301-5748

Phone: (505) 722-1000

Street-level locationGet directions

More NM providers

Mailing address

6102 Private Road 6470

Lubbock, TX 79416-3351

Enumerated: 2021-04-23
Last updated: 2025-09-29
Certified: 2025-09-29

Frequently asked questions

What is Eden Henry's NPI number?: Eden Henry's National Provider Identifier (NPI) is 1114509650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Eden Henry's specialty?: Eden Henry is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
Where is Eden Henry located?: Eden Henry's practice location on file with NPPES is 516 E Nizhoni Blvd, Gallup, NM 87301-5748.
What is Eden Henry's phone number?: The practice phone number listed in the NPPES registry for Eden Henry is (505) 722-1000.
Does Eden Henry accept Medicare?: Eden Henry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Eden Henry's NPI active?: Yes — Eden Henry's NPI (1114509650) is active in the NPPES registry as of the last update on 2025-09-29.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.