CATHERINE HENDERSON (NPI# 1093145567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093145567 |
| Entity Type | Individual |
| Full Name | CATHERINE HENDERSON |
| Credential | FNP |
| Practice Address |
3100 Tongass Ave Ketchikan AK 99901-5746 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 9072288140 |
| Practice Fax Number | 9072288440 |
| Mailing Telephone | 3607291462 |
| Mailing Fax Number | 3607293104 |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2018-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105924 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
105877 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5495 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60503735 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN107776 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1680950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005639 | Catherine M Henderson | Occupational Therapist | 1231 Greenway Dr Ste 100, Irving, TX 75038-2525 | 2019-04-22 |
| 1528464146 | Catherine Henderson | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2014-11-10 |
| 1790190775 | Catherine G Henderson | Social Worker | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2014-06-27 |
| 1871888743 | Catherine Henderson | Nurse Practitioner | 2500 Grant Rd, Mountain View, CA 94040-4302 | 2011-06-17 |
| 1255650891 | Catherine A. Henderson | Psychoanalyst | 1300 114th Ave Se, Suite 210, Bellevue, WA 98004-6942 | 2010-05-21 |
| Street Address |
3100 TONGASS AVE |
| City | KETCHIKAN |
| State | AK |
| Zip Code | 99901-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720250 | Alan L Christensen | Obstetrics & Gynecology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-16 |
| 1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
| 1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
| 1073977443 | Michael Sheflo | Internal Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-04-11 |
| 1598144800 | Bryan Cothren | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1003169434 | Urology Northwest, Ps | Urology | 3100 Tongass Ave, 3rd Floor Visiting Clinic, Ketchikan, AK 99901-5746 | 2012-10-23 |
| 1821374497 | Deborah M O'loane | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2011-10-27 |
| 1215239595 | Nes Washington, Inc. | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901 | 2010-11-19 |
| 1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
| 1336469469 | Leslie Amanda Locklear | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
| 1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
| 1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
| 1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
| 1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
| 1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
| 1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
| 1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
| 1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
| Find all providers in zip 99901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363734 | Amanda E Hulstine | Nurse Practitioner | 320 Bawden St Apt 313, Ketchikan, AK 99901-6544 | 2017-08-25 |
| 1639626997 | Adam Lee Randall | Nurse Practitioner | 283 Wood Rd, Ketchikan, AK 99901-9768 | 2016-09-04 |
| 1386071348 | Donna Lee Mathews Holman | Nurse Practitioner | 700 Water St, Ketchikan, AK 99901-6141 | 2013-10-03 |
| 1265874655 | Tammy Lorraine Earnest | Nurse Practitioner | 120 Carlanna Lake Rd, Ste 102, Ketchikan, AK 99901-5611 | 2013-07-25 |
| 1669707584 | Sarah Elizabeth Hines | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | 2009-10-09 |
| 1295912608 | Maureen Northway | Nurse Practitioner | 130 Carlanna Lake Rd, Suite 201, Ketchikan, AK 99901-5669 | 2008-01-28 |
| 1790715886 | Lorraine Leilani Hill | Nurse Practitioner | 320 Bawden St, Suite 313, Ketchikan, AK 99901-6573 | 2006-07-04 |
| 1124593512 | Calm Harbor Health Clinic | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | 2018-10-11 |
| 1639644024 | Cynthia Wornstaff Np LLC | Nurse Practitioner | 3528 Tongass Ave, Ketchikan, AK 99901-5635 | 2018-10-11 |
| 1174010938 | Carly Bernard | Nurse Practitioner | 605 Gateway Ct, Ketchikan, AK 99901-5672 | 2018-04-17 |
| Find all providers in KETCHIKAN | ||||
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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.