BREYONNA HENLEY (NPI# 1417592759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417592759 |
| Entity Type | Individual |
| Full Name | BREYONNA HENLEY |
| Practice Address |
1100 W 6th Ave Gary IN 46402-1711 |
| Practice Telephone | 2198854264 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1100 W 6TH AVE |
| City | GARY |
| State | IN |
| Zip Code | 46402-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970229 | Mathew V Castelino | Psychiatry & Neurology | 1100 W 6th Ave, Gary, IN 46402-1711 | 2006-02-08 |
| 1578162087 | Laura Lisseth Robles | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-26 |
| 1013516939 | Laresse Harris | Nurse Practitioner | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-21 |
| 1245838762 | Alexis Katherine Neylon | Technician, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-16 |
| 1386242378 | Ameena R Rucker | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-13 |
| 1215535372 | Brittany Marie Comer | Specialist/Technologist | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-10-12 |
| 1093321549 | Curtis Freeman | Case Manager/Care Coordinator | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-09-21 |
| 1174136980 | Shania Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-08-31 |
| 1669080248 | Syreeta Newsom | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| 1841808433 | Andrea W Johnson | Technician | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| Find all providers in zip 46402 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659484053 | Life Service Professional Corp | Specialist | 1015 N Shelby St, Gary, IN 46403-1446 | 2006-08-17 |
| 1720191877 | Pediatrics After Hours, LLC | Specialist | 720 W 5th Ave, Gary, IN 46402-1808 | 2006-08-15 |
| 1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
| 1487830485 | Clarease Robinson | Specialist | 6100 Miller Ave, Gary, IN 46403-2469 | 2008-01-21 |
| 1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
| 1942313366 | Douge Barthelemy | Specialist | 720 W 5th Ave, Gary, Gary, IN 46402-1808 | 2006-08-17 |
| 1225141427 | Steve Simpson | Specialist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-15 |
| 1396858502 | Camille A Borders | Specialist | 1021 W 5th Ave, Gary, IN 46402-1703 | 2006-08-15 |
| 1831183185 | Winifred Oniah | Specialist | 2269 W 25th Ave, Gary, IN 46404-3367 | 2005-09-01 |
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| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
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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.