MRS. HEATHER K HENDERSON (NPI# 1255589909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255589909 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER K HENDERSON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1045 James St Brownell Center for Behavioral Health Syracuse NY 13203-2730 |
| Practice Telephone | 3154724471 |
| Practice Fax Number | 3154224855 |
| Mailing Telephone | 3154724471 |
| Mailing Fax Number | 3154224855 |
| Enumeration Date | 2008-09-07 |
| Last Update Date | 2013-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 552060 | NY | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | F401141-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F401141 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275798449 | Heather Henderson | Pharmacist | 304 Colonial Dr, White River Junction, VT 05001-9426 | 2008-07-27 |
| 1023213121 | Heather Ann Henderson | Social Worker | 233 N Townsend St, Morganfield, KY 42437-1436 | 2007-06-19 |
| 1306864806 | Heather L Henderson | Nurse Practitioner | 2583 Walnut Ave, Geneva, IL 60134-3951 | 2006-07-17 |
| 1295362119 | Heather L Henderson | Behavioral Analyst | 120 E South Town Dr, Tyler, TX 75703-4747 | 2020-03-23 |
| 1639739543 | Heather Henderson | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2019-06-13 |
| 1851855498 | Heather Ann Henderson | Specialist/Technologist | 3532 Monroe St, Riverside, CA 92504-6322 | 2019-01-28 |
| 1760967459 | Heather Adrienne Henderson | Speech-Language Pathologist | 4419 Tram Rd, Panama City, FL 32404-2559 | 2018-09-27 |
| 1982115119 | Heather Henderson | Behavior Technician | 2035 Sw 75th St Ste B, Gainesville, FL 32607-3425 | 2017-10-16 |
| 1831649888 | Heather Henderson | Nurse Practitioner | 156 Clinic Ave, Carrollton, GA 30117-4414 | 2016-10-13 |
| 1528517422 | Heather Henderson | Counselor | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2016-10-03 |
| Street Address |
1045 JAMES ST BROWNELL CENTER FOR BEHAVIORAL HEALTH |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912153 | Alida Anne Dejong | Registered Nurse | 1045 James St, Syracuse, NY 13203-2730 | 2005-06-16 |
| 1326648395 | Liberty Resources Psychology, Physical, Occupational and Speech Therap | Early Intervention Provider Agency | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-29 |
| 1083211619 | Tracy L. Eckstrand | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-10-06 |
| 1306458070 | Amy Marie Ruetsch | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-23 |
| 1891306742 | Nichole Dawn Slate | Social Worker | 1045 James St, Syracuse, NY 13203-2730 | 2020-08-13 |
| 1245849280 | Louis Shirley | Peer Specialist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-27 |
| 1083232367 | Melissa Louise Potter | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-07-13 |
| 1881221885 | Kirsten Melville | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-27 |
| 1699302380 | Jennifer Breau | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-24 |
| 1679109771 | Lora M Denero | Developmental Therapist | 1045 James St, Syracuse, NY 13203-2730 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
| Find all providers in zip 13203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198857 | Syed Fazal Shah | Nurse Practitioner | 719 Harrison St Rm 126, Syracuse, NY 13210-2305 | 2020-06-12 |
| 1023675881 | John Justin Ringhisen | Nurse Practitioner | 500 Harrison St Apt 803, Syracuse, NY 13202-3003 | 2019-05-28 |
| 1720535099 | I - View Psychiatric Np Behavioral Therapy PC | Nurse Practitioner | 5640 E Taft Rd, 5096, Syracuse, NY 13220-9810 | 2016-09-04 |
| 1255696811 | Tammy L Balamut | Nurse Practitioner | 404 Oak St Ste 263, Syracuse, NY 13203-2976 | 2012-07-10 |
| 1558648733 | Jacquelynn Schultz Duquette | Nurse Practitioner | Suny Upstate Child and Adolescent Psychiatry Clinic, 713 Harrison Street, Syracuse, NY 13210 | 2011-11-15 |
| 1265030753 | Mallory Conner | Nurse Practitioner | 736 Irving Ave, Syracuse, NY 13210-1687 | 2020-10-15 |
| 1396361473 | Sydney Meadows | Nurse Practitioner | 847 James St, Syracuse, NY 13203-2504 | 2020-06-24 |
| 1346866829 | Candace S. Carter | Nurse Practitioner | 719 Harrison St, Syracuse, NY 13210-2305 | 2020-06-22 |
| 1508482282 | Yichao Zhang | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-06-18 |
| 1871142687 | Brian Dewayne Frank | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2019-09-05 |
| Find all providers in SYRACUSE | ||||
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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.