JOHNIA KAY HENRY (NPI# 1336314731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336314731 |
| Entity Type | Individual |
| Full Name | JOHNIA KAY HENRY |
| Credential | NP |
| Practice Address |
1400 College Dr Ste 204 Texarkana TX 75503 |
| Mailing Address |
Po Box 1326 Marshall TX 75671-1326 |
| Practice Telephone | 9037911110 |
| Practice Fax Number | 9037919353 |
| Mailing Telephone | 9039273782 |
| Mailing Fax Number | 9039271764 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
670720 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX LICENSE | AP116641 | 01 |
| Street Address |
1400 COLLEGE DR STE 204 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134313802 | Valerie Ann Smith | General Practice | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2007-09-05 |
| 1821554296 | Tirsa Elaine Miller | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2019-02-11 |
| 1316412844 | Stephanie Ann Stewart | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2018-10-11 |
| 1568956456 | Andrew Lourens | Family Medicine | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2018-06-14 |
| 1538673140 | Kristine Johansson Yells | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-11-20 |
| 1598286734 | Stephanie Ford | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-06-28 |
| 1841729480 | Mikala Brooke Anderson | Pediatrics | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2017-06-07 |
| 1487072906 | Jeril Anthony Kannampuzha | Pediatrics | 1400 College Dr Ste 204, Texarkana, TX 75503 | 2014-04-01 |
| 1285060012 | Danette Allen | Social Worker | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2013-09-25 |
| 1124396833 | Krista Rae Niemeyer | Nurse Practitioner | 1400 College Dr Ste 204, Texarkana, TX 75503-3575 | 2011-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770049397 | Jeffery Nash | Nurse Practitioner | #4 Valley View Circle, Texarkana, TX 75503 | 2019-02-19 |
| 1821583501 | Brandy D Acker | Psychologist | 3615 Richmond Rd, Texarkana, TX 75503 | 2018-06-26 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1952838682 | John Kyle Abney | Counselor | 4134 Mcknight Rd, Texarkana, TX 75503 | 2017-05-12 |
| 1699151514 | Piney Woods Er IIi LLC | Clinic/Center | 4102 Gibson Lane, Texarkana, TX 75503 | 2015-08-03 |
| 1609282433 | Colby Rebecca Pair | Physician Assistant | 2604 St. Michael Dr., Suite 310, Texarkana, TX 75503 | 2014-07-01 |
| 1265842496 | Healthcare Express, LLP | Clinic/Center | 3513 Richmond Rd, Texarkana, TX 75503 | 2014-04-28 |
| 1134540628 | Eagle Dental Center of Texarkana Pllc | Dentist | 4009 Moores Ln, Texarkana, TX 75503 | 2013-12-30 |
| 1326481664 | Juancarlo S. Pascual | Family Medicine | 604 St. Michael Dr, Suite 340, Texarkana, TX 75503 | 2013-04-16 |
| Find all providers in zip 75503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
| 1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
| 1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
| 1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
| Find all providers in TEXARKANA | ||||
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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.