ANGELA HENDERSON (NPI# 1063946564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063946564 |
| Entity Type | Individual |
| Full Name | ANGELA HENDERSON |
| Practice Address |
1448 E 10th St Rolla MO 65401-3648 |
| Practice Telephone | 6602077273 |
| Mailing Telephone | 6602077273 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 2006020329 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316434590 | Angela Marie Henderson | Home Health | 511 Woodlore Dr, Chickasaw, AL 36611-1669 | 2018-04-13 |
| 1609258193 | Angela Henderson | Speech-Language Pathologist | 145 Den Creek Trl, Fayetteville, GA 30215-4624 | 2015-06-22 |
| 1174758999 | Angela L. Henderson | Psychologist | 3111 Mahan Dr, Suite 20, Tallahassee, FL 32308-5548 | 2009-05-22 |
| 1366583924 | Angela Henderson | Nurse Practitioner | 2700 S Figueroa St, Los Angeles, CA 90007-3255 | 2007-02-08 |
| 1245311364 | Angela M. Henderson | Chiropractor | 4992 Old Hwy #5, Woodstock, GA 30188 | 2006-10-17 |
| 1295348449 | Angela Henderson | Nurse Practitioner | 887 Bridgeport Ave, Shelton, CT 06484-7602 | 2020-08-27 |
| 1922480565 | Angela Henderson | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd Ste 210, Germantown, TN 38138-2954 | 2015-06-19 |
| 1811318967 | Angela Henderson | Massage Therapist | 1032 S Jackson St, Suite 200, Seattle, WA 98104-3039 | 2013-12-16 |
| 1255669511 | Angela Henderson | Counselor | 64 New York Ave Ne, Washington, DC 20002-3320 | 2009-11-25 |
| 1649417205 | Angela Henderson | Nurse's Aide | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2009-01-19 |
| Street Address |
1448 E 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-3648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982944310 | Celia Margarethe Brotherton-richardson | Registered Nurse | 103 Bryant Dr, Rolla, MO 65401-2957 | 2013-02-21 |
| 1497061576 | April Renee Zack | Registered Nurse | 1605 Martin Springs Dr Ste 260, Rolla, MO 65401-2980 | 2010-08-26 |
| 1295374148 | Logan Jay Shockley | Registered Nurse | 1060 W 10th St, Rolla, MO 65401-2905 | 2019-12-24 |
| 1073089439 | Maryn Lynna Young | Registered Nurse | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2018-10-23 |
| 1427580778 | Karen S Harris | Registered Nurse | 1051 Kingshighway St, Rolla, MO 65401-2938 | 2017-03-28 |
| 1073051942 | Johnnie Winifred Parker | Registered Nurse | 1000 W 10th St, Rolla, MO 65401-2905 | 2017-02-10 |
| 1205382884 | Amanda Brooks | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2016-09-01 |
| 1952777625 | Kiera Buggest | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2015-08-18 |
| 1174955454 | Rhonda Rene Critz | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2013-08-08 |
| 1164672614 | Janet M. Stevens | Registered Nurse | 1450 E 10th St, Rolla, MO 65401-3648 | 2008-09-22 |
| Find all providers in ROLLA | ||||
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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.