SHARON A HENDERSON (NPI# 1477090355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477090355 |
| Entity Type | Individual |
| Full Name | SHARON A HENDERSON |
| Credential | L.M.T. |
| Practice Address |
82 County Road 122 Espanola NM 87532-3187 |
| Mailing Address |
Po Box 693 Medanales NM 87548-0693 |
| Practice Telephone | 5057537576 |
| Mailing Telephone | 5055709984 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8503 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902331895 | Sharon Mccoy Henderson | Nurse Practitioner | 547 Wynbrooke Pkwy, Stone Mountain, GA 30087-4767 | 2017-04-27 |
| 1265891568 | Sharon Henderson | Counselor | 3907 Penhurst Ave Apt D, Baltimore, MD 21215-5650 | 2016-02-15 |
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1356557672 | Sharon Muko Henderson | Dentist | 412 E Broad St, Elyria, OH 44035-6436 | 2007-05-15 |
| 1720200736 | Sharon Vanessa Henderson | Occupational Therapy Assistant | 241 37th Street, Suite 604, Brooklyn, NY 11232 | 2007-05-02 |
| 1831248335 | Sharon Henderson | Physician Assistant | 3800 Hillsborough St, Carroll Health Center, Raleigh, NC 27607-5237 | 2007-01-10 |
| 1780771337 | Sharon F Henderson | Optometrist | 380 W Main St, Lenscrafters, Avon, CT 06001-3690 | 2006-10-06 |
| 1528513587 | Sharon Patricia Henderson | Registered Nurse | 44150 W Maricopa Casa Grande Hwy, Maricopa, AZ 85138-5900 | 2016-08-19 |
| 1508940677 | Sharon E. Henderson | Pediatrics | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| Street Address |
82 COUNTY ROAD 122 |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861535825 | Northern New Mexico Health Care, LLC | Specialist | 82 County Road 122, Espanola, NM 87532-3187 | 2007-02-15 |
| 1245565381 | Feral A Macloud | Acupuncturist | 82 County Road 122, Espanola, NM 87532-3187 | 2009-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528342 | James Harold Dyer Jr. | Massage Therapist | 18648 C Private Dr, Espanola, NM 87532-8753 | 2020-02-03 |
| 1932744778 | Veronica L Vigil | Massage Therapist | 5 Sueno De Vigil Rd, Espanola, NM 87532-9488 | 2019-11-15 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| 1215232657 | Christine Renee Obrien | Massage Therapist | 45 County Road 113, Espanola, NM 87532-3183 | 2011-01-16 |
| 1487983904 | Nathaniel Fuentes | Massage Therapist | 510 N Paseo De Onate, Espanola, NM 87532-2618 | 2009-12-11 |
| 1629216205 | Christine Sandoval | Massage Therapist | 628 N Riverside Dr Ste C, Espanola, NM 87532-2620 | 2009-02-04 |
| 1740409705 | Kartar Kaur Khalsa | Massage Therapist | 521 Camino Rio Vista, Northern New Mexico Health Care 82acr122, Espanola, NM 87532 | 2007-04-25 |
| 1316036536 | Ruth B Gibson | Massage Therapist | 415 Paseo De Onate, Espanola, NM 87532 | 2006-10-12 |
| 1578982161 | Shakti Clinic LLC | Massage Therapist | 510 N Paseo De Onate, Espanola, NM 87532 | 2014-04-10 |
| 1245668466 | Seraphina Tisch | Massage Therapist | 510 N Paseo De Onate, Espanola, NM 87532-2618 | 2013-10-25 |
| Find all providers in ESPANOLA | ||||
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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.