NINA HENDERSON (NPI# 1164794319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164794319 |
| Entity Type | Individual |
| Full Name | NINA HENDERSON |
| Other Name | CORNELIA WARE |
| Practice Address |
8908 Picket Fence Ave Las Vegas NV 89143-1114 |
| Practice Telephone | 7024763909 |
| Mailing Telephone | 7024763909 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8908 PICKET FENCE AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89143-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356735823 | Rodney Sholty | Family Medicine | 8121 Caramel Gorge Ct, Las Vegas, NV 89143 | 2015-03-23 |
| 1417345505 | Anthony Cialkowski | Physical Therapy Assistant | 8412 Timber Pine Ave., Las Vegas, NV 89143 | 2014-12-26 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1396961611 | Joseph (joe) David Cracraft | Specialist | 6375 West Charleston Blvd., Las Vegas, NV 89143 | 2007-04-17 |
| 1487066072 | A Third Hand | Specialist/Technologist, Other | 9806 Red Deer St, Las Vegas, NV 89143 | 2014-05-30 |
| 1255630356 | Daughters of Zion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8444 Bandit Bluff Ave, Las Vegas, NV 89143-0289 | 2011-03-15 |
| 1689000416 | Ezekiel Perez | Behavioral Analyst | 8913 Big Plantation Ave, Las Vegas, NV 89143-1112 | 2013-09-25 |
| 1407076821 | Steven Daniel Fisher | Social Worker | 9049 Pine Mission Ave, Las Vegas, NV 89143-1124 | 2007-04-26 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| 1982903738 | Trenton Brisco | Behavioral Analyst | 9509 Yellowshale St, Las Vegas, NV 89143-1137 | 2011-03-18 |
| Find all providers in zip 89143 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656438 | Brittney Mary Sobwick | Rehabilitation Practitioner | 8360 W Sahara Ave Ste 230, Las Vegas, NV 89117-8945 | 2020-10-12 |
| 1184234544 | Karina Mandello | Rehabilitation Practitioner | 8250 N Grand Canyon Dr Unit 2121, Las Vegas, NV 89166-3734 | 2020-07-31 |
| 1730797408 | Jeffrey Michael Stovall | Rehabilitation Practitioner | 7037 Fort Union Ct, Las Vegas, NV 89179-1206 | 2020-07-20 |
| 1194333716 | Francisco Javier Robles | Rehabilitation Practitioner | 2810 W Charleston Blvd Ste H77, Las Vegas, NV 89102-1921 | 2020-07-20 |
| 1073121836 | Genna Villanueva | Rehabilitation Practitioner | 6612 Sand Bench Ave, Las Vegas, NV 89130-4801 | 2020-07-17 |
| 1861000895 | Carolyn Mccrae | Rehabilitation Practitioner | 11245 Vintners Ln, Las Vegas, NV 89138-1503 | 2020-07-15 |
| 1871119404 | Andrew Hunt | Rehabilitation Practitioner | 9557 Green Spruce St, Las Vegas, NV 89123-3573 | 2020-06-19 |
| 1861018566 | Tshawnalyn Alize Nicole Puryear | Rehabilitation Practitioner | 6300 W Tropicana Ave Trlr 159, Las Vegas, NV 89103-4422 | 2020-06-19 |
| 1962024661 | Ernestina Huerta | Rehabilitation Practitioner | 6933 Cobblestone Ave, Las Vegas, NV 89145-5349 | 2020-05-15 |
| 1538789102 | Thomas Putnam | Rehabilitation Practitioner | 7824 Nesting Pine Pl, Las Vegas, NV 89143-4468 | 2020-04-23 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on NINA 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.