DR. MELINDA C. HENDERSON (NPI# 1487771945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487771945 |
| Entity Type | Individual |
| Full Name | DR. MELINDA C. HENDERSON |
| Credential | ARNP, FAAN, |
| Practice Address |
4413 Us Highway 331 S Defuniak Springs FL 32435-6307 |
| Mailing Address |
504 Circle Dr Defuniak Springs FL 32435-2565 |
| Practice Telephone | 8509514500 |
| Mailing Telephone | 8508925610 |
| Mailing Fax Number | 8508927254 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
383902 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760498943 | Melinda Henderson | Psychologist | 280 N Old Woodward Ave, Suite 200, Birmingham, MI 48009-5300 | 2006-07-31 |
| 1013966423 | Melinda Shaw Henderson | Family Medicine | 1208 Choctaw Trl, Brentwood, TN 37027 | 2006-05-10 |
| 1679516561 | Melinda Henderson | Nurse Practitioner | 7801 N Knoxville Ave, Peoria, IL 61614-2076 | 2006-06-14 |
| Street Address |
4413 US HIGHWAY 331 S |
| City | DEFUNIAK SPRINGS |
| State | FL |
| Zip Code | 32435-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984299 | Healthmark of Walton Inc | General Acute Care Hospital | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2005-06-30 |
| 1194343228 | Elissa Hope Purvis | Nurse Practitioner | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2020-07-06 |
| 1164979597 | Jennifer Marie Sanford | Physical Therapist | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2016-09-01 |
| 1760797914 | Francis Edward Tenewitz | Surgery | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2010-08-12 |
| 1861665135 | Doctors Hospital of Defuniak Springs | General Acute Care Hospital | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2008-04-08 |
| 1083791412 | Michael Clayton Ramsay | Nurse Anesthetist, Certified Registered | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2006-11-01 |
| 1023037504 | Bryant Draper | Emergency Medicine | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2006-07-18 |
| 1578544649 | Healthmark of Walton Inc. | Durable Medical Equipment & Medical Supplies | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098267 | Luz Zondlo | Counselor | 3686 Us Highway 331s, Chautauqua Offices of Psychotherapy & Evaluation, Defuniak Springs, FL 32435 | 2017-01-03 |
| 1427445477 | Jacob Urda | Family Medicine | 1045 Hwy 331 South Suite D & E, Defuniak Springs, FL 32435 | 2015-04-16 |
| 1982728929 | Stone Surgery Clinic | Surgery | 962 Us 331 South, Defuniak Springs, FL 32435 | 2007-03-16 |
| 1003999756 | Charles Gordon Stevenson IIi | Optometrist | 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | 2006-10-23 |
| 1609971910 | Solomon Reodica | Surgery | 4415 Highway 331 Soutn, Defuniak Springs, FL 32435 | 2006-09-13 |
| 1396857223 | Pamela Kay Stuckey | Social Worker | 3686 Us Hwy 331 S, Cope Center Inc, Defuniak Springs, FL 32435 | 2006-08-31 |
| 1144332065 | Michele Anne Gilmore-rule | Social Worker | 3686 Us Hwy 331 South, Cope Center Inc, De Funiak Springs, FL 32435 | 2006-08-31 |
| 1205857513 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1030 Us Highway 331 South, Suite G, Defuniak Springs, FL 32435 | 2006-07-21 |
| 1912932153 | George Lester Mueller | Surgery | 2800 S Seacrest, Suite 200, Boynton Beach, FL 32435 | 2006-07-12 |
| 1679525463 | Timothy W Walker | Emergency Medicine | 4413 Us Hwy 331 South, Defuniak Springs, FL 32435 | 2006-05-17 |
| Find all providers in zip 32435 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343228 | Elissa Hope Purvis | Nurse Practitioner | 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 | 2020-07-06 |
| 1902459662 | Mindy Lee Gray | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2019-07-22 |
| 1790288694 | Suzanne Moree | Nurse Practitioner | 4415 Us Highway 331 S, Defuniak Springs, FL 32435 | 2018-03-16 |
| 1982135893 | Robert Lowry | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2017-03-22 |
| 1083155865 | Pamela Ann Ferrand | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2017-03-14 |
| 1164625208 | Donna Shepherd Ennis | Nurse Practitioner | 21 W Main Ave, Defuniak Springs, FL 32435-2529 | 2007-06-07 |
| 1053407148 | Nancy J Heriot | Nurse Practitioner | 411 E Nelson Ave, Defuniak Springs, FL 32433-7444 | 2006-10-05 |
| 1790754117 | Elizabeth Anne Dixon | Nurse Practitioner | 362 State Highway 83, Defuniak Springs, FL 32433-3800 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588413 | Arnol Miguel Chacon Chacon | Nurse Practitioner | 1001 Rich Dr, Palm Springs, FL 33406-6508 | 2020-11-08 |
| 1427659192 | Monica Teresita Vengoechea Leon | Nurse Practitioner | 68 Se 6th St Apt 4104, Miami, FL 33131-3519 | 2020-11-08 |
| 1740881416 | Donald Douglass Jamieson | Nurse Practitioner | 17929 Hunting Bow Cir # Na, Lutz, FL 33558-5378 | 2020-11-08 |
| 1609477348 | Danielle Schmidt | Nurse Practitioner | 7803 34th Ct E, Sarasota, FL 34243-2867 | 2020-11-07 |
| 1083215735 | Ahecio Alexander Labrada Izquierdo | Nurse Practitioner | 624 Sw 132nd Ter, Davie, FL 33325-3242 | 2020-11-07 |
| 1114528874 | Wandering Michelle, LLC | Nurse Practitioner | 526 Wekiva Bluff St, Apopka, FL 32712-2776 | 2020-11-07 |
| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1891396818 | Gilberto Fernandez Sr. | Nurse Practitioner | 8021 Nw 166th St, Miami Lakes, FL 33016-3421 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | DEFUNIAK SPRINGS |
| Zip Code | 32435 |
Please comment or provide details below to improve the information on DR. MELINDA C. HENDERSON.
| 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.