BROOKE HENDERSON (NPI# 1184077273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184077273 |
| Entity Type | Individual |
| Full Name | BROOKE HENDERSON |
| Other Name | BROOKE DELANEY |
| Credential | APRN-CNP |
| Practice Address |
200 N Bryant Ave Ste 100 Edmond OK 73034-6273 |
| Mailing Address |
4205 Mcauley Blvd Ste 375 Oklahoma City OK 73120-9309 |
| Practice Telephone | 4053302372 |
| Practice Fax Number | 4053302363 |
| Mailing Telephone | 4057494247 |
| Mailing Fax Number | 4057494249 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105738 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649778317 | Brooke Evangeline Henderson | Occupational Therapy Assistant | 40 Parkhurst Rd, Chelmsford, MA 01824-1513 | 2018-01-29 |
| 1427583368 | Brooke Henderson | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr, Rm 5867, Indianapolis, IN 46202-5109 | 2017-04-28 |
| 1386188910 | Brooke Henderson | Pharmacist | 132 Granite St, Quincy, MA 02169-5060 | 2016-12-16 |
| 1235475625 | Brooke W Henderson | Nurse Practitioner | 721 Glenwood Dr Ste 560, Chattanooga, TN 37404-1129 | 2012-12-12 |
| 1467590182 | Brooke Stewart Henderson | Counselor | 5515 Shelby Oaks Dr, Memphis, TN 38134-7316 | 2007-02-02 |
| Street Address |
200 N BRYANT AVE STE 100 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-6273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467557991 | Gary C Hill Md Inc | Specialist | 200 N Bryant Ave Ste 100, Edmond, OK 73034-6273 | 2006-09-13 |
| 1508210816 | Draelos Metabolic Center | Nurse Practitioner | 200 N Bryant Ave Ste 100, Edmond, OK 73034-6273 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1568069185 | Ancie Madden | Nurse Practitioner | 153 Ledgemont Dr, Edmond, OK 73013-1693 | 2020-10-06 |
| 1932712973 | Katrina Michelle Todd | Nurse Practitioner | 3908 Lakeshire Ridge Ct, Edmond, OK 73034-1049 | 2020-08-28 |
| 1215554662 | Emily Kathyrn Cockrell | Nurse Practitioner | 133 Kimberly Dr, Edmond, OK 73003-2376 | 2020-07-01 |
| 1982226361 | Covid Busters, LLP | Nurse Practitioner | 1632 Camden Way, Edmond, OK 73013-2939 | 2020-05-08 |
| 1235759291 | Sara Elizabeth Lacy-antonelli | Nurse Practitioner | 311 S Rankin St, Edmond, OK 73034-5345 | 2020-04-20 |
| 1528608551 | Stacey Lynn Lowery | Nurse Practitioner | 16212 Scissortail Dr, Edmond, OK 73013-9422 | 2020-01-07 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1700447356 | Jeana Backus | Nurse Practitioner | 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013-8558 | 2019-06-25 |
| 1366001315 | Kara Nicole De La Pena | Nurse Practitioner | 1501 N Midwest Blvd, Edmond, OK 73034-8412 | 2019-06-12 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on BROOKE 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.