SHELLEY ELAINE HENDERSON (NPI# 1215325105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215325105 |
| Entity Type | Individual |
| Full Name | SHELLEY ELAINE HENDERSON |
| Other Name | SHELLEY ELAINE MENDRICK |
| Credential | MSN, RN, APRN |
| Practice Address |
8193 Mall Rd Florence KY 41042 |
| Practice Telephone | 8559254733 |
| Practice Fax Number | 8595250173 |
| Mailing Telephone | 8559254733 |
| Mailing Fax Number | 8595250173 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.17912-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033468681 | Shelley Henderson | Social Worker | 808 W End Ave Apt 1203, New York, NY 10025-5316 | 2012-08-29 |
| 1962963736 | Shelley Joyceanne Thomas Henderson | Student in an Organized Health Care Education/Training Program | 3737 Market St Fl 9, Philadelphia, PA 19104-5545 | 2019-03-26 |
| Street Address |
8193 MALL RD |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770598914 | Walgreen Co | Pharmacy | 8193 Mall Rd, Florence, KY 41042-1413 | 2006-07-29 |
| 1831715903 | Douglas G Deitemeyer | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2020-06-24 |
| 1538785084 | Allison Volski | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2020-06-21 |
| 1902422702 | Joelle Ahlrichs | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2020-06-18 |
| 1750636098 | Lauren Franxman | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2012-07-23 |
| 1730456708 | John Paul Bosch | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2011-11-19 |
| 1487939906 | Jennifer Katrina Ashby | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2011-10-16 |
| 1932481215 | Beth Mack | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2011-09-13 |
| 1740561505 | Mark Joseph Setters | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2011-09-06 |
| 1356622385 | Katherine Jeanette Hinds | Pharmacist | 8193 Mall Rd, Florence, KY 41042-1413 | 2011-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322703 | Stephenie Matthews Gordon | Nurse Practitioner | 3037 Waterford Dr, Florence, SC 29501-6383 | 2020-09-26 |
| 1073130829 | Lindsay Humphreys | Nurse Practitioner | 309 Ashwoody Dr, Florence, AL 35633-1700 | 2020-06-28 |
| 1710504568 | Deborah Valentine | Nurse Practitioner | 9331 Highway 157, Florence, AL 35633-4635 | 2020-06-28 |
| 1235755984 | Chasidy Lynn Ward | Nurse Practitioner | 406 Woodland Dr, Florence, SC 29501-5445 | 2020-06-18 |
| 1174146054 | Heather Helmbrecht-vines | Nurse Practitioner | 1631 Corinthian Dr Apt 2023, Florence, KY 41042-7424 | 2020-05-26 |
| 1245850148 | Duran Healthcare Pllc | Nurse Practitioner | 9910 Berberich Dr Unit E, Florence, KY 41042-3220 | 2020-04-21 |
| 1548897788 | Pansi Anil Patel | Nurse Practitioner | 511 Prestwick Dr, Florence, SC 29501-8738 | 2020-03-26 |
| 1245861228 | Chasity Beene | Nurse Practitioner | 2929 Cloverdale Rd Unit D, Florence, AL 35633-1505 | 2020-01-29 |
| 1023649191 | Loreena Ruth Fraboni | Nurse Practitioner | 5880 Co-67, Florence, CO 81226 | 2020-01-28 |
| 1093355430 | Stephen Panosian | Nurse Practitioner | 2612 N Palo Verde Dr, Florence, AZ 85132-6880 | 2020-01-14 |
| Find all providers in FLORENCE | ||||
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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.