MRS. MARYANNE ELIZABETH HENDERSON (NPI# 1245239151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245239151 |
| Entity Type | Individual |
| Full Name | MRS. MARYANNE ELIZABETH HENDERSON |
| Credential | R.D., LD/N |
| Practice Address |
1520 Fletcher St Hollywood FL 33020-6511 |
| Practice Telephone | 9544012946 |
| Mailing Telephone | 9549236500 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
ND3567 | FL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811945165 | Maryanne Henderson | Nurse Practitioner | 423 E 23rd St, New York, NY 10010-5011 | 2006-05-05 |
| 1679571699 | Maryanne Julie Henderson | Physical Medicine & Rehabilitation | 1405 Shady Ave, Pittsburgh, PA 15217-1350 | 2005-07-13 |
| Street Address |
1520 FLETCHER ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975702 | Love.play.grow.llc | Developmental Therapist | 1520 Fletcher St, Hollywood, FL 33020-6511 | 2019-10-28 |
| 1578520193 | Nanella P Fornoni | Physical Therapy Assistant | 1520 Fletcher St, Hollywood, FL 33020-6511 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274104 | Mary Ellen Bing | Dietitian, Registered | 32 Iroquois Trl, Ormond Beach, FL 32174-4332 | 2020-08-07 |
| 1114545605 | Erika Marie Stahl | Dietitian, Registered | 651 Jamestown Blvd Apt 2116, Altamonte Springs, FL 32714-4683 | 2020-07-10 |
| 1659905016 | Erika Cook | Dietitian, Registered | 7 Sea Oaks Dr, St Augustine, FL 32080-7914 | 2020-02-25 |
| 1669039285 | Jennifer Mann | Dietitian, Registered | 1647 Island Way, Weston, FL 33326 | 2019-05-20 |
| 1306343850 | Annmarie Duggan | Dietitian, Registered | 18004 Nw 6th St Ste 104, Pembroke Pines, FL 33029-2823 | 2018-04-11 |
| 1245500933 | Jeanette Poillucci | Dietitian, Registered | 3700 Nw 88th Ave, 102, Sunrise, FL 33351-6556 | 2012-01-11 |
| 1710297452 | Susan Lynn Bottiglieri | Dietitian, Registered | 6641 Current Dr, Apollo Beach, FL 33572-1544 | 2010-10-15 |
| 1609189059 | John Dodd | Dietitian, Registered | 123 Sandcastle Dr, Ormond Beach, FL 32176-4156 | 2010-07-14 |
| 1548588627 | Cesiah Rojas | Dietitian, Registered | 11809 Sw 103rd Ln, Miami, FL 33186-8541 | 2010-05-13 |
| 1992020705 | Susan Marie Meese-morris | Dietitian, Registered | 333 Nw 70th Ave Ste 107, Plantation, FL 33317-2358 | 2010-04-05 |
| Find all providers with the same taxonomy | ||||
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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.