MR. DAVID ELLIS HENSLEY (NPI# 1417209040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417209040 |
| Entity Type | Individual |
| Full Name | MR. DAVID ELLIS HENSLEY |
| Credential | CPO, FAAOP |
| Practice Address |
120 14th Ave Se Suite D Puyallup WA 98372-3718 |
| Mailing Address |
6405 218th St Sw Ste 301 Mountlake Terrace WA 98043-2180 |
| Practice Telephone | 2538482888 |
| Practice Fax Number | 2062999445 |
| Mailing Telephone | 4256402004 |
| Mailing Fax Number | 2062999445 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | OI00000072 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | PS00000071 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144376419 | David Randal Hensley | Dermatology | 300 W Arbrook Blvd, Suite D, Arlington, TX 76014-3105 | 2007-01-26 |
| 1285647024 | David B Hensley | Psychologist | 2002 Commerce St Ste C, Victoria, TX 77901-5510 | 2006-08-14 |
| 1164417275 | David A Hensley | Pediatrics | 4860 Woodbine Rd, Suite 1 & 2, Pace, FL 32571-8709 | 2005-09-14 |
| 1063622389 | David Hensley | Dentist | 900 Meridian E, Ste 27, Milton, WA 98354-7001 | 2007-05-23 |
| 1750305256 | David Hensley | Nurse Anesthetist, Certified Registered | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2006-07-27 |
| 1548232911 | David Hensley | Psychiatry & Neurology | 5755 Cottle Rd, Building 4, San Jose, CA 95123-3640 | 2006-02-01 |
| Street Address |
120 14TH AVE SE SUITE D |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98372-3718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619934429 | Pamela D Cowell | Obstetrics & Gynecology | 120 14th Ave Se, Suite C, Puyallup, WA 98372-3718 | 2006-04-26 |
| 1316566623 | Alina A. Melnyk | Physician Assistant | 120 14th Ave Se, Puyallup, WA 98372-3718 | 2020-04-16 |
| 1043765878 | Seattle Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2016-08-22 |
| 1225439995 | Kathryn Weakland | Massage Therapist | 120 14th Ave Se, 1, Puyallup, WA 98372-3718 | 2014-09-11 |
| 1295030971 | Family Foot Clinic Inc | Clinic/Center | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2011-01-11 |
| 1881754059 | Sonus-usa, Inc. | Audiologist-Hearing Aid Fitter | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-12-11 |
| 1578671830 | Mazen Dahan | Pediatrics | 120 14th Ave Se, Suite A, Puyallup, WA 98372 | 2006-08-28 |
| 1235170515 | Bruce Micheal Worthen | Podiatrist | 120 14th Ave Se, Suite B, Puyallup, WA 98372-3718 | 2006-06-09 |
| 1346296571 | Cheryl A Conway | Hearing Instrument Specialist | 120 14th Ave Se, Suite D, Puyallup, WA 98372-3718 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
| 1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
| 1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
| 1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
| 1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
| 1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
| 1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| Find all providers in zip 98372 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631586 | Michael Philip Podrasky | Prosthetist | 1420 4th St Se, Ste D, Puyallup, WA 98372 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785777 | Natalie Kirsten Harold | Prosthetist | 123 2nd Ave S Ste 200, Edmonds, WA 98020-8449 | 2018-10-09 |
| 1497129092 | Stevie Stephens | Prosthetist | 723 Mlk Jr Way, Tacoma, WA 98405 | 2015-11-19 |
| 1427243468 | Andrew J Lind | Prosthetist | 401 S Sherman St, Spokane, WA 99202-6001 | 2007-09-12 |
| 1508057845 | David M Kelly | Prosthetist | 1900 116th Ave Ne Ste 201, Bellevue, WA 98004-3013 | 2007-08-01 |
| 1093891616 | Virginias Feminine Boutique, LLC | Prosthetist | 3627 152nd St Ne, Marysville, WA 98271-8944 | 2006-10-27 |
| 1912081860 | American Artificial Limb Co | Prosthetist | 650 S Orcas St, Suite 100, Seattle, WA 98108-2654 | 2006-10-25 |
| 1891394086 | Janae Christine Buchan | Prosthetist | 2621 Ne 134th St Ste 120, Vancouver, WA 98686-3036 | 2020-10-20 |
| 1164020426 | Sarah Mccarthy Cheever | Prosthetist | 4575 Sand Point Way Ne, Seattle, WA 98105-3950 | 2020-10-09 |
| 1720612450 | Sean C Hails | Prosthetist | 1901 S Cedar St Ste 202, Tacoma, WA 98405-2303 | 2020-03-03 |
| 1205469889 | Shannon J Kim | Prosthetist | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. DAVID ELLIS HENSLEY.
| 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.