JENNIFER JEAN HENDERSON (NPI# 1104079219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104079219 |
| Entity Type | Individual |
| Full Name | JENNIFER JEAN HENDERSON |
| Credential | L.M.T. |
| Practice Address |
341 Winslow Blvd Winslow AR 72959 |
| Practice Telephone | 4798412081 |
| Practice Fax Number | 4796345109 |
| Mailing Telephone | 4798412081 |
| Mailing Fax Number | 4796345109 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2176 | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437537891 | Jennifer Henderson | Social Worker | 1086 Brandon Ave, Simi Valley, CA 93065-4974 | 2015-05-18 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1134479272 | Jennifer A Henderson | Nurse Practitioner | 146 Passion Play Road, Eureka Springs, AR 72632 | 2012-09-17 |
| 1740597418 | Jennifer Henderson | Doula | 5680 Boston Blvd, White Lake, MI 48383-4112 | 2010-09-01 |
| 1962675249 | Jennifer M Henderson | Counselor | 328 S Central Ave Ste 210, Medford, OR 97501-7274 | 2008-04-08 |
| 1861594095 | Jennifer Beth Henderson | Counselor | 2235 S 10th Ave, Broadview, IL 60155-4027 | 2006-09-01 |
| 1316557275 | Jennifer Rae Henderson | Speech-Language Pathologist | 606 S Sycamore St, Blue Hill, NE 68930-3535 | 2020-08-05 |
| 1770102444 | Jennifer Hartwell Henderson | Speech-Language Pathologist | 1535 Vann Dr, Jackson, TN 38305-2095 | 2020-04-13 |
| 1437781838 | Jennifer Lynn Henderson | Counselor | 9 Harding Hwy, Elmer, NJ 08318-4401 | 2020-02-04 |
| 1376194738 | Jennifer Ann Henderson | Registered Nurse | 837 Willett Road, Jonesboro, AR 72401-7240 | 2019-09-26 |
| Street Address |
341 WINSLOW BLVD |
| City | WINSLOW |
| State | AR |
| Zip Code | 72959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508010398 | Gale Annette Barker | Preferred Provider Organization | 178 Pinehaven Dr, Winslow, AR 72959-2500 | 2008-11-06 |
| 1063837847 | Rick Rakotz | Technician/Technologist | 1400 N Devils Den Rd, Winslow, AR 72959-2605 | 2014-03-03 |
| 1144495086 | Winslow Community Meals | Home Health | 1057 Ella Rd, Winslow, AR 72959-2753 | 2008-04-22 |
| 1346206653 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 398 School Ave, Winslow, AR 72959-2946 | 2006-04-25 |
| 1073020392 | Melissa Sue Waterson | Behavioral Analyst | 15558 Winn Creek Rd, Winslow, AR 72959-9427 | 2018-01-08 |
| 1558593400 | Gwyn A Gregory | Occupational Therapist | 16847 Bailey Rd, Winslow, AR 72959-9704 | 2009-08-11 |
| 1265789309 | Virginia Ruth Hughes | Registered Nurse | 20096 Hidden Valley Rd, Winslow, AR 72959-9740 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356598 | Jamie Lee Shaw | Registered Nurse | 506 Maple Ridge Rd, Winslow, ME 04901-0050 | 2020-08-11 |
| 1669080677 | Town of Winslow | Ambulance | 114 Benton Ave, Winslow, ME 04901-3039 | 2020-07-15 |
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1356982425 | Sally Ann Morin | Technician | 10 Belanger St, Winslow, ME 04901-7244 | 2019-09-30 |
| 1881244184 | Christopher Lynn Card | Social Worker | 1015 E Second St, Winslow, AZ 86047-4125 | 2019-09-18 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1063069979 | Bonnie Jean Foster | Nurse Practitioner | 219 W Fourth St, Winslow, AZ 86047-3506 | 2019-08-25 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1568025658 | Hopestone LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 49 Cushman Rd, Winslow, ME 04901-7212 | 2019-04-15 |
| Find all providers in WINSLOW | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366824823 | Kimberly Dorval | Specialist | 16 Chadwick Street, Winslow, ME 04901 | 2015-06-22 |
| 1225387681 | Laura Clelland | Specialist | 1900 Mountain Dr, Winslow, AZ 86047-6947 | 2012-08-31 |
| 1669768040 | Kenneth M Nabors | Specialist | 3200 W Third St, Winslow, AZ 86047-2076 | 2011-06-23 |
| 1417192683 | Denise Dawn Parsons | Specialist | 1129 French Rd, Winslow, AZ 86047-4801 | 2008-12-02 |
| 1124188677 | Gary Stephen Sanderlin | Specialist | 201 W Mahoney St, Winslow, AZ 86047-2631 | 2006-12-12 |
| 1285794008 | Daiana E Trapp | Specialist | 800 N Apache Ave, Winslow, AZ 86047-3819 | 2006-12-11 |
| 1376768358 | Gabriel Isa Madrone | Specialist | 800 N Apache Ave, 1100 Colorado Ave, Winslow, AZ 86047-3819 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209387 | Alysha Johnson | Specialist | 4618 Jfk Blvd, North Little Rock, AR 72116-7311 | 2020-06-10 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1568958288 | Rebekka Leah Bailey | Specialist | 913 W Court St, Paragould, AR 72450-5922 | 2018-07-05 |
| 1932627999 | Erin Walker | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1033651914 | Adrienne D Stephens | Specialist | 306 W Shelton St Lot 1, Monticello, AR 71655-4732 | 2016-11-09 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1396100780 | James Garland Burgess | Specialist | 307 Nordin Ln, Russellville, AR 72802-9006 | 2015-12-29 |
| 1548646250 | Matthew Martin | Specialist | 5497 Northern Dancer, Springdale, AR 72762-8337 | 2015-08-04 |
| 1467837575 | Riverfront Doulas, LLC | Specialist | 114 Trelon Way, Little Rock, AR 72223-3988 | 2015-07-30 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| Find all providers with the same taxonomy | ||||
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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.