MRS. CATHY A HENDERSON (NPI# 1225507874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225507874 |
| Entity Type | Individual |
| Full Name | MRS. CATHY A HENDERSON |
| Credential | ARNP, MSN, PCCN |
| Practice Address |
121 W Macclenny Ave Macclenny FL 32063-2029 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN9295968 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6142 Collins Rd, Jacksonville, FL 322445806 | 9047783200 | |
| 1010 Medical Center Dr Ste 210, Hardeeville, SC 299273450 | 8436454680 | |
| 8 Hospital Center Blvd Ste 110, Hilton Head Island, SC 299268701 | 8436860920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346371291 | Cathy Henderson | Social Worker | 2200 E 7th St, Charlotte, NC 28204-3340 | 2007-03-09 |
| 1104983378 | Cathy Schulman Henderson | Counselor | 1 Meeting House Rd, Suite 16, Chelmsford, MA 01824-2733 | 2007-01-03 |
| Street Address |
121 W MACCLENNY AVE |
| City | MACCLENNY |
| State | FL |
| Zip Code | 32063-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073617957 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2006-09-12 |
| 1578179123 | Ashley Turbyfill | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-09-18 |
| 1861032419 | Taylor Parker | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-01-12 |
| 1477028561 | Lisa A Greenway | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2018-10-04 |
| 1487090742 | Len Williams | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2013-05-14 |
| 1841441722 | Ameena Zenaida Nathan | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1285175091 | Katie Rourke | Massage Therapist | 6068 -1 Larimer Rd, Macclenny, FL 32063 | 2017-03-13 |
| 1174734073 | Jane Ellen Echterling | Psychologist | Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 | 2007-05-24 |
| 1992879886 | Baker County Schools | Local Education Agency (LEA) | 290 Jonathan St E, Macclenny, FL 32063 | 2006-11-20 |
| 1306918271 | Baker County School Board | Local Education Agency (LEA) | 290 Jonathan Street East, Macclenny, FL 32063 | 2006-11-15 |
| 1780760967 | Patricia Ann Sova | Pharmacist | 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 | 2006-10-31 |
| 1447347992 | Annie Clara Widemond | Pharmacy Technician | 1436 State Road 121 South, Macclenny, FL 32063 | 2006-10-06 |
| 1003900713 | Luna S. Iskander | Psychiatry & Neurology | 7487 South State Road 121, Macclenny, FL 32063 | 2006-10-03 |
| 1558456103 | Cam Hoang | Family Medicine | 7487 South State Road 171, Macclenny, FL 32063 | 2006-10-03 |
| 1245323492 | Raynors Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 | 2006-10-02 |
| Find all providers in zip 32063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427550631 | Jessica Putney | Nurse Practitioner | 525 Islamorada Dr S, Macclenny, FL 32063-4260 | 2018-03-03 |
| 1578179123 | Ashley Turbyfill | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-09-18 |
| 1275152480 | Amy Michelle Harvey | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2020-04-09 |
| 1861032419 | Taylor Parker | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2020-01-12 |
| 1578028478 | Kassie Crews Shoup | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2019-02-05 |
| 1356811962 | Melody Miller Waites | Nurse Practitioner | 480 W Lowder St, Macclenny, FL 32063-2664 | 2018-11-27 |
| 1477028561 | Lisa A Greenway | Nurse Practitioner | 121 W Macclenny Ave, Macclenny, FL 32063-2029 | 2018-10-04 |
| 1043755069 | Linda Louise Heilman | Nurse Practitioner | 159 N 3rd St, Macclenny, FL 32063-2103 | 2016-12-29 |
| 1144605148 | Merredith Oakes | Nurse Practitioner | 7487 S State Road 121, Macclenny, FL 32063-5451 | 2015-07-21 |
| 1659770121 | Whitney Renae Nimmo-olsen | Nurse Practitioner | 725 S 6th St, Macclenny, FL 32063-9653 | 2014-08-20 |
| Find all providers in MACCLENNY | ||||
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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.