BENNIE S HENDERSON (NPI# 1043229982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043229982 |
| Entity Type | Individual |
| Full Name | BENNIE S HENDERSON |
| Credential | NP |
| Practice Address |
157 B S Greenwood Ave Ext Ware Shoals SC 29692 |
| Practice Telephone | 8644563447 |
| Practice Fax Number | 8647254979 |
| Mailing Telephone | 8644563447 |
| Mailing Fax Number | 8647254979 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2009-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F945 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0089 | 05 |
| Street Address |
157 B S GREENWOOD AVE EXT |
| City | WARE SHOALS |
| State | SC |
| Zip Code | 29692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1639541972 | Ally Child and Family Counseling, LLC | Counselor | 2924 Nation Road, Ware Shoals, SC 29692 | 2015-10-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1629136858 | West End Drug Inc | Pharmacist | 80 N Greenwood Ave, Ware Shoals, SC 29692 | 2006-12-04 |
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1205144490 | Joseph Seth Pulley | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-22 |
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| 1689858367 | Harmony Residential Care Center, LLC | Assisted Living Facility | 10 N Greenwood Ave, Ware Shoals, SC 29692-1239 | 2007-12-18 |
| 1104022516 | Park Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 9 E Main St, Ware Shoals, SC 29692-1301 | 2007-06-22 |
| 1679679138 | Park Pharmacy, Inc | Pharmacist | 9 E Main St, Ware Shoals, SC 29692-1301 | 2006-09-15 |
| Find all providers in zip 29692 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669664728 | John Cenarosa Paguntalan | Nurse Practitioner | 157b S Greenwood Ave, Ware Shoals, SC 29692-1636 | 2007-08-13 |
| 1487017521 | Amber Cheyenne Morris | Nurse Practitioner | 157b S Greenwood Ave, Ware Shoals, SC 29692-1636 | 2016-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557737 | Diondra Johnson | Nurse Practitioner | 2327 Watchtower Ln, Charleston, SC 29414-7803 | 2020-10-27 |
| 1740888262 | Gerri Kukucka | Nurse Practitioner | 18 Ash Ct, Irmo, SC 29063-9584 | 2020-10-16 |
| 1407454853 | William Andrew Haislip | Nurse Practitioner | 109 Anita St, Greer, SC 29651-3814 | 2020-10-16 |
| 1912505652 | Mattison Williams Craig | Nurse Practitioner | 108 Woodstock Ln, Greer, SC 29650-3918 | 2020-10-14 |
| 1669079901 | Kelley Brown Davis | Nurse Practitioner | 2689 Us-1, Elgin, SC 29045 | 2020-10-08 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1285231845 | Shannon Marie Dunlap | Nurse Practitioner | 3792 Home Branch Rd, Manning, SC 29102-4109 | 2020-10-07 |
| 1588261325 | Crystal Leopard | Nurse Practitioner | 328 Deer Creek Rd, Easley, SC 29640-7615 | 2020-10-05 |
| 1497352595 | Margaret Ann Regnery | Nurse Practitioner | 900 Island Park Dr Ste 104, Daniel Island, SC 29492-7560 | 2020-10-02 |
| 1417564709 | John P Rainchuso | Nurse Practitioner | 299 Three Runs Creek Way, Aiken, SC 29803-1680 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | WARE SHOALS |
| Zip Code | 29692 |
Please comment or provide details below to improve the information on BENNIE S HENDERSON.
| 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.