KEITH HENRY (NPI# 1467012120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467012120 |
| Entity Type | Individual |
| Full Name | KEITH HENRY |
| Credential | ARNP-FNP |
| Practice Address |
23458 Cool Water Dr Ruther Glen VA 22546-3325 |
| Mailing Address |
1039 Ronald Tharrington Rd Louisburg NC 27549-7412 |
| Practice Telephone | 8048036887 |
| Practice Fax Number | 8046212249 |
| Mailing Telephone | 9192477894 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0024177706 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0024177706 | VA | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024177706 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2706 Medical Office Pl, Goldsboro, NC 275349460 | 9197344736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770017543 | Keith Henry | Hospitalist | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2017-04-18 |
| 1831479062 | Keith Henry | Physical Therapist | 700 Nutt Rd Ste 650, Phoenixville, PA 19460-5320 | 2011-08-19 |
| 1447261201 | Keith A Henry | Pathology | 290 Big Run Rd, Lexington, KY 40503-2903 | 2006-08-10 |
| 1417922089 | Keith D Henry | Emergency Medicine | 640 Jackson St, Mc 11102f, St Paul, MN 55101-2502 | 2006-02-17 |
| Street Address |
23458 COOL WATER DR |
| City | RUTHER GLEN |
| State | VA |
| Zip Code | 22546-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659888717 | Mohamed Ibrahim | Dentist | 18010 Jefferson Davis Highway, Ruther Glen, VA 22546 | 2018-01-10 |
| 1891246237 | Urgent Care Travel, Inc | Clinic/Center | 23458 Cool Water Drive, Ruther Glenn, VA 22546 | 2016-10-20 |
| 1346423225 | Caroline Outpatient Program | Community/Behavioral Health | 7120 Conway Place, Ruther Glen, VA 22546 | 2007-12-13 |
| 1043275852 | Victoria E Grady | Internal Medicine | 8051 Prosperity Way Ste 100, Ruther Glen, VA 22546 | 2006-04-18 |
| 1578931911 | Right Price Construction | Durable Medical Equipment & Medical Supplies | 306 Burr Dr, Ruther Glen, VA 22546 | 2015-09-02 |
| 1588973614 | Jennifer Lynn Brown | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-10-07 |
| 1710293477 | Nancy Christine Love I | Social Worker | 19254 Rogers Clark Blvd, Ruther Glen, VA 22546 | 2010-08-19 |
| 1184182719 | Antonio O'neil Clinkscales | Counselor | 103 Surrey Dr, Ruther Glen, VA 22546-1035 | 2019-03-02 |
| 1942548912 | Nicole Rich | Technician | 1004 Lake Heritage Dr, Ruther Glen, VA 22546-1054 | 2013-01-24 |
| 1396063855 | David Joseph Perillo | Podiatrist | 347 Land Or Dr, Ruther Glen, VA 22546-1235 | 2010-05-08 |
| Find all providers in zip 22546 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | RUTHER GLEN |
| Zip Code | 22546 |
Please comment or provide details below to improve the information on KEITH HENRY.
| 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.