STEPHANIE LYNN HENDERSON (NPI# 1528373313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528373313 |
Entity Type | Individual |
Full Name | STEPHANIE LYNN HENDERSON |
Credential | RD LD |
Practice Address |
1555 Vernon Ave Blackfoot ID 83221 |
Mailing Address |
1555 Vernon Ave Blackfoot ID 83221-3050 |
Practice Telephone | 3073990139 |
Mailing Telephone | 3073990139 |
Enumeration Date | 2010-08-17 |
Last Update Date | 2011-07-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | D-629 | ID | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093325581 | Stephanie Henderson | Social Worker | 301 England St # 485, Ashland, VA 23005-2109 | 2020-08-09 |
1518496520 | Stephanie Leigh Henderson | Speech-Language Pathologist | 9990 Richmond Ave Ste 201s, Houston, TX 77042-4559 | 2017-06-05 |
1699318329 | Stephanie Danielle Henderson | Nurse Practitioner | 5113 Wayland Dr, Odessa, TX 79762-5520 | 2019-10-25 |
1861968810 | Stephanie Henderson | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2018-10-17 |
1639678857 | Stephanie Henderson | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2018-02-02 |
1750836540 | Stephanie Henderson | Counselor | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2016-08-22 |
1982073243 | Stephanie Deshae Henderson | Social Worker | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2015-09-16 |
1417388463 | Stephanie Michelle Renea Henderson | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2013-12-02 |
1235490293 | Stephanie Ann Henderson | Dentist | 5053 Tuttle Crossing Blvd, Dublin, OH 43016-1533 | 2012-06-06 |
1982997284 | Stephanie Diane Henderson | Obstetrics & Gynecology | 348 E 4500 S Ste 200, Salt Lake City, UT 84107 | 2011-05-18 |
Street Address |
1555 VERNON AVE |
City | BLACKFOOT |
State | ID |
Zip Code | 83221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
1083809289 | Renal Treatment Centers West Inc | Clinic/Center | 1491 Parkway Drive, Blackfoot, ID 83221 | 2007-09-11 |
Find all providers in zip 83221 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770111924 | Kywnynn Madsen | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2020-03-31 |
1730563248 | Allison Marotz | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2015-07-14 |
1407277940 | Shawna Durbin | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2013-12-31 |
1629380654 | Camile Michaelson | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2010-07-07 |
1346552486 | Jan Williamson | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2010-07-06 |
1891006102 | Kathy Puckett | Dietitian, Registered | 98 Poplar St, Blackfoot, ID 83221-1758 | 2010-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689272965 | Katelyn Diane John | Dietitian, Registered | 967 N Clithero Dr, Boise, ID 83703-5703 | 2020-10-09 |
1942816871 | Vanessa Yvonne Engle | Dietitian, Registered | 1095 S Stateline Rd, Driggs, ID 83422-4727 | 2020-09-16 |
1992310148 | Ellie Rock | Dietitian, Registered | 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 | 2020-09-14 |
1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
1639781743 | Anna Speegle | Dietitian, Registered | 427 Meadowview Ln, Twin Falls, ID 83301-6883 | 2020-08-19 |
1477179646 | Kayla Lynne Johnson | Dietitian, Registered | 570 Cobra Ct, Twin Falls, ID 83301-5694 | 2020-06-23 |
1245855113 | Megan Jensen | Dietitian, Registered | 6929 W Trail Dr, Boise, ID 83704-4568 | 2020-06-16 |
1063035004 | Chrisann M Hinson | Dietitian, Registered | 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 | 2020-05-26 |
1609497551 | Aaron Robert Calvano | Dietitian, Registered | 5350 N Moose Creek Ave, Meridian, ID 83646-3639 | 2020-05-01 |
1437779469 | Nutrition Dejunked LLC | Dietitian, Registered | 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 | 2020-04-20 |
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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.