MRS. CHERYL LYNN HENDERSON (NPI# 1043201304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043201304 |
| Entity Type | Individual |
| Full Name | MRS. CHERYL LYNN HENDERSON |
| Credential | FNP |
| Practice Address |
20208 State Highway 155 S Flint TX 75762-5600 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 9038256222 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2015-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
618206 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE- CANTON | 75-2616977-001 | 01 |
| TX | TRICARE LINDALE | 75-2616977-028 | 01 |
| TX | 142475605 | 05 | |
| TX | BCBS | 834N61 | 01 |
| TX | MEDICARE RAILROAD | P00911377 | 01 |
| TX | TRICARE LAKE PALESTINE LOCATION | TIN PLUS 002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912178591 | Cheryl Ann Henderson | Nurse Practitioner | 8116 Mosby Way, Willow Spring, NC 27592 | 2008-03-21 |
| 1437512092 | Cheryl Henderson | Specialist | 304 W Cerritos Ave, Anaheim, CA 92805-6550 | 2016-03-31 |
| 1043573116 | Cheryl Anita Henderson | Audiologist-Hearing Aid Fitter | 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 | 2012-06-22 |
| 1164750071 | Cheryl D Henderson | Pharmacist | 3822 Old Spanish Trl, Houston, TX 77021-1340 | 2009-12-04 |
| 1851520159 | Cheryl Henderson | Psychologist | 20 Research Pkwy, Suite C, Old Saybrook, CT 06475-4214 | 2009-07-08 |
| 1104070978 | Cheryl Henderson | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2008-11-06 |
| 1164448601 | Cheryl A Henderson | Nurse Practitioner | 2500 Metrohealth Dr, Mhmc-pediatrics, Cleveland, OH 44109-1900 | 2006-07-15 |
| Street Address |
20208 STATE HIGHWAY 155 S |
| City | FLINT |
| State | TX |
| Zip Code | 75762-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790073435 | Ronnie Dale Nash | Physician Assistant | 20208 State Highway 155 S, Flint, TX 75762-5600 | 2011-07-15 |
| 1528297983 | Trinity Clinic | Clinic/Center | 20208 State Highway 155 S, Flint, TX 75762-5600 | 2009-07-07 |
| 1982729216 | Dallas Diederich | Physician Assistant | 20208 State Highway 155 S, Flint, TX 75762-5600 | 2007-03-19 |
| 1356465421 | Amy L Delleney | Physician Assistant | 20208 State Highway 155 S, Flint, TX 75762-5600 | 2007-03-16 |
| 1700850393 | Alan M Eli | Family Medicine | 20208 State Highway 155 S, Flint, TX 75762-5600 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437647690 | Brandon Michael Gill | Registered Nurse | 19153 Honeysuckle Dr., Flint, TX 75762 | 2018-04-24 |
| 1023049715 | Michael Raymond Green | Pediatrics | 18104 County Road 134, Flint, TX 75762 | 2006-07-05 |
| 1548225261 | Lisa E. Allen | Family Medicine | 20208 Hwy 155 S, Flint, TX 75762 | 2006-04-18 |
| 1326018797 | Gary Babbitt | Family Medicine | 20208 Hwy 155, Flint, TX 75762 | 2006-01-26 |
| 1649269051 | Theodore Israel Gould | Emergency Medicine | 18118 County Road 344, Flint, TX 75762 | 2005-10-18 |
| 1740428028 | John G. Enloe, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 17159 Fm 2493, Flint, TX 75762 | 2009-01-26 |
| 1669521795 | Air-o-tech Respiratory Care Services Inc. | Durable Medical Equipment & Medical Supplies | 10698 Fm 346 W, Suite #7, Flint, TX 75762-0271 | 2007-01-09 |
| 1881601078 | Excel Home Medical | Durable Medical Equipment & Medical Supplies | 11490 Fm 2868, Blg 2 Unit1, Flint, TX 75762-0298 | 2006-08-01 |
| 1831690247 | Liliana Carina Rodriguez | Registered Nurse | 13376 County Road 1131, Flint, TX 75762-2417 | 2018-02-22 |
| 1194346759 | Kelly Nicole Ellis | Registered Nurse | 13819 County Road 1131, Flint, TX 75762-2419 | 2020-05-05 |
| Find all providers in zip 75762 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739523 | Tiffany M Stafford | Nurse Practitioner | 5536 S Saginaw Rd, Flint, MI 48507-4421 | 2020-01-09 |
| 1184269599 | Tamela Renae Callahan | Nurse Practitioner | 20188 Ridgerock Dr, Flint, TX 75762-9335 | 2019-11-08 |
| 1164982229 | Randi Lynn Ballard-dickerson | Nurse Practitioner | 1140 S Linden Rd Bldg A, Flint, MI 48532-3437 | 2019-03-23 |
| 1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1144728593 | Matthew Thomas Evans | Nurse Practitioner | 1125 S Linden Rd Ste 900, Flint, MI 48532-4068 | 2018-01-30 |
| 1093213977 | Sandy Holland | Nurse Practitioner | 4100 Beecher Road, Flint, MI 48532-2819 | 2018-01-25 |
| 1245760883 | Melinda Sue Williams | Nurse Practitioner | 2304 Bradford Dr, Flint, MI 48507-4404 | 2017-06-15 |
| 1912340332 | Patricia Ann Ward | Nurse Practitioner | 1401 E. Court, Mott Community College Health Services, Flint, MI 48503 | 2013-04-16 |
| 1710119904 | Laura Lea Szakal | Nurse Practitioner | 1386 S Linden Rd, Flint, MI 48532-4185 | 2009-08-20 |
| Find all providers in FLINT | ||||
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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.