KATHLEEN HENRY (NPI# 1205963162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205963162 |
| Entity Type | Individual |
| Full Name | KATHLEEN HENRY |
| Credential | P.A. |
| Practice Address |
2880 Story Rd Suite 10 San Jose CA 95127-3942 |
| Mailing Address |
2880 Story Rd San Jose CA 95127-3942 |
| Practice Telephone | 4087299700 |
| Mailing Telephone | 4087299700 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA14665 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073967253 | Kathleen Nicole Henry | Nurse Practitioner | 2212 Lakewind Ln, League City, TX 77573-5795 | 2016-04-14 |
| 1750643797 | Kathleen Henry | Specialist | 6535 Broadway, 2 K, Bronx, NY 10471-2012 | 2012-06-14 |
| 1982830444 | Kathleen Henry | Physical Therapist | 115 Sandra Muraida Way Apt 518, Austin, TX 78703-4840 | 2009-06-10 |
| 1831342609 | Kathleen R Henry | Pharmacy Technician | 6216 S 255th St Apt Dd202, Kent, WA 98032-4996 | 2008-10-24 |
| 1467661207 | Kathleen Mary Henry | Marriage & Family Therapist | 202 7th St E, Hastings, MN 55033-2103 | 2007-05-21 |
| 1164553087 | Kathleen Raftis Henry | Physical Therapist | 5 Sophie Ln, Durham, NH 03824-4423 | 2007-03-09 |
| 1174566087 | Kathleen Henry | Nurse Practitioner | 1810 Hwy 508, Onalaska, WA 98570 | 2006-06-14 |
| 1043679020 | Kathleen Henry | Pharmacist | 2746 Ne 45th St, Seattle, WA 98105-5099 | 2016-02-18 |
| 1740653807 | Kathleen Christine Henry | Physician Assistant | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2015-11-10 |
| 1497063135 | Kathleen Ann Henry | Nurse Practitioner | 16513 106th Ct, Orland Park, IL 60467-4545 | 2010-09-15 |
| Street Address |
2880 STORY RD SUITE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795791 | Hui Bettencourt | Physician Assistant | 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 | 2006-07-04 |
| 1790219707 | Ann Nimesgern | Physician Assistant | 2880 Story Rd, San Jose, CA 95127-3942 | 2017-04-17 |
| 1306223615 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 | 2015-05-06 |
| 1972946572 | Arturo Madrigal | Physician Assistant | 2880 Story Rd, Second Floor, San Jose, CA 95127-3942 | 2013-04-12 |
| 1588902258 | Monica Tan Dawley | Nurse Practitioner | 2880 Story Rd, San Jose, CA 95127-3942 | 2013-01-30 |
| 1073884854 | Leonard L Leimbach | Physician Assistant | 2880 Story Rd, San Jose, CA 95127-3942 | 2012-01-25 |
| 1265717680 | Preciosa Castillejo | Nurse Practitioner | 2880 Story Rd, San Jose, CA 95127-3942 | 2011-10-17 |
| 1568792927 | Trinh T Nguyen | Registered Nurse | 2880 Story Rd, San Jose, CA 95127-3942 | 2010-01-07 |
| 1720179989 | Angelica Mendoza Ruiz | Pediatrics | 2880 Story Rd, Suite A, San Jose, CA 95127-3942 | 2006-09-27 |
| 1124048301 | Juan C Carrillo | Pediatrics | 2880 Story Rd, San Jose, CA 95127-3942 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607423 | Emily Halla | Physician Assistant | 7473 Gresham Ct, San Jose, CA 95139-1424 | 2020-10-26 |
| 1881210029 | Jeremy Nathan Birch | Physician Assistant | 1287 San Moritz Dr, San Jose, CA 95132-2754 | 2020-06-23 |
| 1609491158 | Kaitlin Aquino | Physician Assistant | 1382 Bing Dr, San Jose, CA 95129-4703 | 2020-06-10 |
| 1275152282 | Heema K Bhagat | Physician Assistant | 6967 Sessions Dr, San Jose, CA 95119-1335 | 2020-04-09 |
| 1013557925 | Kassaundra Cervantes | Physician Assistant | 2114 Mckee Rd, San Jose, CA 95116-1427 | 2020-01-08 |
| 1508416207 | Shelley Brunkan | Physician Assistant | 227 Giddings Ct, San Jose, CA 95139-1421 | 2019-09-14 |
| 1053960724 | Caroline Luczak | Physician Assistant | 88 E San Fernando St, San Jose, CA 95113-2535 | 2019-09-05 |
| 1336704402 | Irene Rummel | Physician Assistant | 1227 Gehrig Ave, San Jose, CA 95132-2714 | 2019-05-04 |
| 1801350749 | Brenda H.t. Nguyen | Physician Assistant | 1102 Brooks Range Lndg, San Jose, CA 95131-3803 | 2019-01-24 |
| 1477021848 | Christina Ly | Physician Assistant | 1569 Lexann Ave Ste 206, San Jose, CA 95121-1795 | 2018-11-05 |
| Find all providers in SAN JOSE | ||||
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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.