TESSA SUZANNE HENDERSON


Address: 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861
Phone: 3037619190

TESSA SUZANNE HENDERSON (NPI# 1033558101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033558101
Entity Type Individual
Full Name TESSA SUZANNE HENDERSON
Other Name TESSA SUZANNE MEUNIER, HOULE
Credential NP
Practice Address 10700 E Geddes Ave Ste 200
Englewood
CO 80112-3861
Mailing Address 10700 E. Geddes Ave
Suite 200
Englewood
CO 80112-3861
Practice Telephone 3037619190
Practice Fax Number 7208744462
Mailing Telephone (303) 761-9190
Mailing Fax Number 7208744462
Enumeration Date 2013-06-21
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0990650-NP CO Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
APN.0990650-NP CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE 384572YQPG 01
CO MEDICARE 384572YQ3L 01
CO MEDICARE 384572YQN9 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
15 W Dry Creek Cir, Littleton, CO 801204427 3039521100
11600 W 2nd Pl, Lakewood, CO 802281527 7203210000 7203211759

Office Location

Street Address 10700 E GEDDES AVE STE 200
City ENGLEWOOD
State CO
Zip Code 80112-3861

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972586998 Ross A Goldstein Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2005-11-23
1366858177 Jessica Rae Cox Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2014-07-01
1497188569 Tamara P Reeves-sandoval Nurse Practitioner 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2013-08-13
1104269943 Mustafa Mahmoud Haddad Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112 2013-04-11
1679810337 Carol B. Johnston Nurse Practitioner 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2013-01-14
1306100888 Kelly Christine Borden Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2012-06-28
1780947531 Nishant Anilkumar Patel Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112 2012-06-18
1922385020 Jacqueline Denise Fearon Registered Nurse 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2011-11-03
1699060582 Cosette M. Stahl Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2011-06-18
1548553522 Jonathan Holstad Radiology 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 2011-05-24
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NPI Name Taxonomy Address Enumeration
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1033757109 Sauder Psychology, Inc Psychologist 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 2019-12-19
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1528538311 Cherish Mitchell Behavior Technician 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 2018-12-05
1144706920 Margaret Mary Froehlke Homemaker 6278 E Jamison Dr, Centennial, CO 80112 2018-07-16
1376038240 Elizabeth Ann Dickason Physician Assistant 9094 East Mineral Avenue, #100, Englewood, CO 80112 2018-06-24
1770075467 Dry Creek Surgery Center, LLC Clinic/Center 125 Inverness Dr E Ste 150, Englewood, CO 80112 2018-05-30
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508495821 Jawana Lynn Watson Nurse Practitioner 307 Kristina Lynn Pl, Englewood, OH 45322-2354 2020-04-07
1003449737 Michelle May Roe Nurse Practitioner 21 Oakland St, Englewood, NJ 07631-2112 2020-02-21
1528608197 Ashley Lynn Thompson Nurse Practitioner 885 N Union Rd., Englewood, OH 45322 2020-01-13
1619518453 Theresa Carol Lee Nurse Practitioner 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 2019-10-02
1194373977 Jane Uloma Ibe Nurse Practitioner 4018 Clearstream Way, Englewood, OH 45322-1458 2019-08-26
1932768330 Laurie Ann Cucco Nurse Practitioner 3302 Riverview Ave, Englewood, NJ 07631-8720 2019-06-10
1326522848 Quynh Doan Nurse Practitioner 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 2018-09-20
1669998464 Jennifer Diane Novotny Nurse Practitioner 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 2017-08-14
1003366949 Tiffany Kristine Lamarca Nurse Practitioner 2061 Englewood Rd Ste 5, Englewood, FL 34223 2016-10-04
1851844211 Sm Medical LLC Nurse Practitioner 1008 Sunset Dr, Englewood, OH 45322-2253 2016-08-02
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Competitor

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City ENGLEWOOD
Zip Code 80112

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Dataset Information

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.

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