JULIE LYNN HENDERSON (NPI# 1013095967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013095967 |
| Entity Type | Individual |
| Full Name | JULIE LYNN HENDERSON |
| Credential | R.D. |
| Practice Address |
300 El Camino Real Sierra Vista AZ 85635-2812 |
| Practice Telephone | 5204174994 |
| Practice Fax Number | 5204174994 |
| Mailing Telephone | 5204174994 |
| Mailing Fax Number | 5204174994 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 836625 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CDR | 836625 | 01 |
| AZ | AMERICAN DIETETIC ASS. | 00836625 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
| 1104185974 | Julie Henderson | Chiropractor | 7878 Wadsworth Blvd Ste 200, Arvada, CO 80003-2121 | 2012-05-14 |
| 1306825104 | Julie Kay Henderson | Counselor | 672 Williamsburg Park Cir, Sandy, UT 84070-0517 | 2006-01-11 |
| 1811455728 | Julie Henderson | Clinical Nurse Specialist | 920 Church St N, Concord, NC 28025-2927 | 2019-03-10 |
| 1912496522 | Julie Henderson | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3202 | 2018-05-09 |
| 1649705039 | Julie Henderson | Pharmacist | 4656 Cemetery Rd, Hilliard, OH 43026-1298 | 2017-04-24 |
| 1083969422 | Julie Henderson | Early Intervention Provider Agency | 15 South St, Hudson, MA 01749-2205 | 2012-07-23 |
| 1871864876 | Julie Lachelle Henderson | Nurse Practitioner | 1010 Main St S, Mc Kee, KY 40447-7089 | 2012-01-23 |
| 1881719003 | Julie Kay Henderson | Occupational Therapist | 11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433-2776 | 2007-03-20 |
| 1164516498 | Julie Henderson | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-03 |
| Street Address |
300 EL CAMINO REAL |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546853 | Radiology Specialists of Southern Arizona | Radiology | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-05-18 |
| 1144630831 | Sarah Marie Richards | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-05-02 |
| 1063832889 | Omar Waheed | Internal Medicine | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2014-04-19 |
| 1518301977 | Jeffery James Olsen | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2013-04-29 |
| 1154613644 | Migran Vartanyan | General Practice | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-05-03 |
| 1437440690 | Gregory Hollick | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2011-04-22 |
| 1730496829 | Majid Sameer Asawaeer | Internal Medicine | 300 El Camino Real, Cogent Healthcare Office, Sierra Vista, AZ 85635 | 2010-09-10 |
| 1265747687 | Tahera Islam | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2010-08-10 |
| 1356579742 | Frank P Kunik Jr. | Student in an Organized Health Care Education/Training Program | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-06-24 |
| 1851538805 | Sierra Vista Regional Health Center Inc | General Acute Care Hospital | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746437 | Ineke Wilkin | Dietitian, Registered | 111b Henry Cir, Sierra Vista, AZ 85613-1427 | 2019-02-18 |
| 1801032206 | James Glaser | Dietitian, Registered | 101 N Coronado Dr, Suite A, Sierra Vista, AZ 85635-6358 | 2009-01-06 |
| 1013498328 | Nicole Lee Williams | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-08-24 |
| 1891273041 | Stephanie Jeanelle Bradshaw | Dietitian, Registered | 155 Calle Portal Ste 700, Sierra Vista, AZ 85635-2973 | 2018-07-31 |
| 1467954594 | Chelsey M Housley | Dietitian, Registered | 155 Calle Portal Ste 300, Sierra Vista, AZ 85635-2900 | 2018-03-05 |
| 1265747687 | Tahera Islam | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2010-08-10 |
| 1710165543 | Chelsea Lee Sanders | Dietitian, Registered | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2008-02-04 |
| 1033153515 | Anna Katarzyna Keefe | Dietitian, Registered | 5700 E Highway 90, Sierra Vista, AZ 85635-9110 | 2006-06-15 |
| 1730123118 | Donna M Whelan | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-06-15 |
| 1699713586 | Robin Marie Tucker-falconer | Dietitian, Registered | 300 El Camino Real, Sierra Vista, AZ 85635-2812 | 2006-06-03 |
| Find all providers in SIERRA VISTA | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.