TAMARA HENDERSON (NPI# 1114489879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114489879 |
Entity Type | Individual |
Full Name | TAMARA HENDERSON |
Practice Address |
G3494 Beecher Rd Flint MI 48532-2735 |
Practice Telephone | 8103099734 |
Mailing Telephone | 8103099734 |
Enumeration Date | 2019-04-02 |
Last Update Date | 2019-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704312000 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013444025 | Tamara Thomas Henderson | Social Worker | 1717 Orange Tree Dr, Edgewater, FL 32132-3313 | 2017-05-22 |
1992097133 | Tamara A Henderson | Acupuncturist | 411 E 45th St, Austin, TX 78751-3830 | 2011-05-06 |
Street Address |
G3494 BEECHER RD |
City | FLINT |
State | MI |
Zip Code | 48532-2735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811073489 | Edward J Conley Do PC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532 | 2006-10-27 |
1023595816 | Jonathan Aaron Koziel | Family Medicine | G3494 Beecher Rd, Flint, MI 48532-2735 | 2018-07-24 |
1104367242 | Michigan Health Specialist, LLC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532-2735 | 2017-03-08 |
1780126698 | Np Advantage Health Services LLC | Family Medicine | G3494 Beecher Rd, Flint, MI 48532-2735 | 2016-11-09 |
1780078576 | Rachel Gale Kennedy | Family Medicine | G3494 Beecher Rd, Flint, MI 48532-2735 | 2015-03-19 |
1700114550 | Edward John Conley | Family Medicine | G3494 Beecher Rd, Flint, MI 48532-2735 | 2009-12-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
Find all providers in zip 48532 |
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.