DR. KRISTEN F HENDERSON (NPI# 1407372238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407372238 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN F HENDERSON |
| Other Name | KRSITEN E FANTEL |
| Credential | APRN |
| Practice Address |
703 Main Street Pediatrics Department - Picu Paterson NJ 07503-0750 |
| Mailing Address |
559 Coventry Dr Nutley NJ 07110-3952 |
| Practice Telephone | 9737542560 |
| Mailing Telephone | 2038370435 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 7169 | CT | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00982300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1083736516 | Kristen Henderson | Speech-Language Pathologist | 13406 Erskine St, Omaha, NE 68164-4014 | 2007-04-04 |
| 1336102631 | Kristen Leigh Henderson | Physical Therapist | 108 N Adams St, Quincy, FL 32351-2404 | 2006-04-08 |
| 1366912792 | Kristen Pika Henderson | Physical Therapist | 10910 Clarksville Pike, Ellicott City, MD 21042-6106 | 2018-11-28 |
| 1154814150 | Kristen Leigh Henderson | Case Manager/Care Coordinator | 3433 Agler Rd Ste 2000, Columbus, OH 43219-3397 | 2018-06-13 |
| 1265944656 | Kristen Henderson | Occupational Therapist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2017-10-25 |
| 1447530571 | Kristen Henderson | Occupational Therapist | 737 S Main St, Salinas, CA 93901-3233 | 2011-08-21 |
| Street Address |
703 MAIN STREET PEDIATRICS DEPARTMENT - PICU |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-0750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182403 | Michael C Erlichman | Dentist | 703 Main Street, St. Joseph's Regional Medical Center, Paterson, NJ 07503 | 2005-05-24 |
| 1386265569 | Tanisha Prashant Wandhare | Student in an Organized Health Care Education/Training Program | 703 Main Street, Department of Surgery/trauma, St. Joseph's University M, Paterson, NJ 07503 | 2020-04-29 |
| 1942757125 | Saint Joseph Regional Medical Center | Long Term Care Hospital | 703 Main Street, Paterson, NJ 07503-3700 | 2016-09-06 |
| 1821544115 | Vinod Kumar | Internal Medicine | 703 Main Street, Paterson, NJ 07503 | 2016-08-28 |
| 1851766588 | Sundus Abbasi | Student in an Organized Health Care Education/Training Program | 703 Main Street, Paterson, NJ 07053 | 2015-12-07 |
| 1831593961 | Islam Kassab | Physician Assistant | 703 Main Street, Paterson, NJ 07503 | 2014-10-17 |
| 1043638638 | Jerome Edward Balbin | Emergency Medicine | 703 Main Street, Department of Emergency Medicine, Paterson, NJ 07503 | 2014-04-01 |
| 1891033106 | Melissa Slivka | Social Worker | 703 Main Street, Paterson, NJ 07503-2621 | 2013-01-21 |
| 1679823645 | Michael Hanna | Internal Medicine | 703 Main Street, Paterson, NJ 07503-2621 | 2012-09-17 |
| 1144587502 | Haris Kalatoudis | Internal Medicine | 703 Main Street, Medicine Department, Paterson, NJ 07503-0750 | 2012-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154892941 | Yilenny Dejesus Duran | Nurse Practitioner | 936 E 23rd St, Paterson, NJ 07513-1518 | 2018-12-06 |
| 1982088662 | Sharon Shaw-francis | Nurse Practitioner | 125 Carbon St, Paterson, NJ 07522-1228 | 2015-07-13 |
| 1841608718 | Irina Zargarian | Nurse Practitioner | 680 Broadway Ste 101, Paterson, NJ 07514-1526 | 2014-07-23 |
| 1114299914 | Michelle Susan Vitale | Nurse Practitioner | 154 Union Ave, Paterson, NJ 07502-1849 | 2012-02-08 |
| 1154940450 | Jessy Samuel | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-04-16 |
| 1881228997 | Angela Suguey Acevedo | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-02-27 |
| 1770129363 | Laura Churco | Nurse Practitioner | 730 Main St, Paterson, NJ 07503-2623 | 2019-11-19 |
| 1700420213 | Jannelle Laguesma Martinez | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2019-10-29 |
| 1902453830 | Rawan Hammoudeh | Nurse Practitioner | 1044 Main St, Paterson, NJ 07503-2212 | 2019-08-26 |
| 1588140974 | Ayishetu Alhassan | Nurse Practitioner | 1042 Main St, Paterson, NJ 07503-2212 | 2018-07-18 |
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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.