MRS. LYNN ELLEN HENDERSON (NPI# 1487711586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487711586 |
| Entity Type | Individual |
| Full Name | MRS. LYNN ELLEN HENDERSON |
| Other Name | MS. LYNN ELLEN RETTIG |
| Credential | ANP |
| Practice Address |
Po Box 13492 Austin TX 78711-3492 |
| Mailing Address |
7404 W Darrow St Laveen AZ 85339-2643 |
| Practice Telephone | 4156445051 |
| Mailing Telephone | 6023035376 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
AP5555 | AZ | Allopathic & Osteopathic Physicians |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71001704 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200514540 | 05 | |
| IN | BLUE CROSS | 000000562731 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1730 E Hickory Brook Ln, Frankfort, IN 460418654 | 5745812956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528348711 | Lynn Mcdaniel Henderson | Clinical Neuropsychologist | 551 Baywood Dr S, Dunedin, FL 34698-2012 | 2011-08-19 |
| 1447586367 | Lynn M Henderson | Social Worker | 807 Havens Corners Rd, Gahanna, OH 43230-3114 | 2009-10-28 |
| Street Address |
PO BOX 13492 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78711-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1063013985 | Kyle Allan Mccall | Counselor | 5015 S Ih 35 Frontage Rd, Suite 200, Austin, TX 78744 | 2020-11-06 |
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1205437266 | Whitney Diane Cauley | Acupuncturist | 3006 Bee Caves Rd Ste A213, Austin, TX 78746-5651 | 2020-11-05 |
| 1790386779 | Daniela Rubiano Mejia | Dentist | 505 W Louis Henna Blvd Ste 505, Austin, TX 78728-1701 | 2020-11-05 |
| 1750982922 | Kaitlyn Reithmeier | Occupational Therapist | 13001 Hymeadow Dr Unit 37, Austin, TX 78729-1778 | 2020-11-04 |
| 1093316499 | Gold Standard Therapy, Pllc | Home Health | 102 Salinas Cv, Austin, TX 78738-1781 | 2020-11-03 |
| Find all providers in AUSTIN | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508191 | Elisabeth Blank | Family Medicine | 6633 E Hwy 290 Ste 300, Austin, TX 78723-1158 | 2019-10-04 |
| 1982897674 | Richard M. Turbin | Family Medicine | 1529 Barton Springs Rd, Unit 7, Austin, TX 78704-1009 | 2007-08-25 |
| 1275567620 | Suzan Jane Arizpe | Family Medicine | 13009 Scofield Farms Dr, Austin, TX 78727-4599 | 2006-07-10 |
| 1497024905 | Mens Wellness Center One LLC | Family Medicine | 3724 Jefferson St, Ste 112, Austin, TX 78731-6225 | 2011-12-29 |
| 1427389089 | Virtual.md Software, LLC | Family Medicine | 4316 James Casey St, # F-200, Austin, TX 78745-1116 | 2010-01-21 |
| 1649463399 | House Call Medical Management | Family Medicine | 7610 W Highway 71, Suite F, Austin, TX 78735-8231 | 2007-08-24 |
| 1770773202 | Tmg Medical Group, P.a. | Family Medicine | 1221 W Ben White Blvd, Suite B-100, Austin, TX 78704-6888 | 2007-07-31 |
| 1841398757 | Maria Zardkoohi | Family Medicine | 7000 N Mo Pac Expy, Ste 420, Austin, TX 78731-3027 | 2006-09-21 |
| 1972609162 | Viswajyothi Mambapoor | Family Medicine | 7901 Metropolis Dr, Austin, TX 78744-3111 | 2006-09-15 |
| 1528030319 | Francis Howard Hughes | Family Medicine | 100f W Dean Keeton St, Austin, TX 78712-1006 | 2006-02-06 |
| Find all providers in AUSTIN | ||||
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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.