REBECCA DYKES HENDERSON (NPI# 1528560414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528560414 |
| Entity Type | Individual |
| Full Name | REBECCA DYKES HENDERSON |
| Credential | FNP-BC |
| Practice Address |
1508 Tombras Ave East Ridge TN 37412-2720 |
| Practice Telephone | 4238674969 |
| Practice Fax Number | 4238674971 |
| Mailing Telephone | 4238674969 |
| Mailing Fax Number | 4238674971 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
23895 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 Kawatuska Way, Loudon, TN 377742636 | 7065909827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169078 | Rebecca Sue Henderson | Respiratory Therapist, Certified | 415 W Wilshire Blvd Ste A, Oklahoma City, OK 73116-7702 | 2020-06-18 |
| 1760032494 | Rebecca Campbell Henderson | Family Medicine | 1614 Virginia Pine Cir Sw, Lilburn, GA 30047-5670 | 2019-09-15 |
| 1932472602 | Rebecca Henderson | Counselor | 100 E Ferguson St Ste 608, Tyler, TX 75702-5756 | 2012-02-10 |
| 1508223769 | Rebecca Henderson | Dental Hygienist | 1 Memorial Medical Dr, Greenville, SC 29605-4407 | 2016-01-19 |
| 1124404991 | Rebecca Henderson | Occupational Therapist | 4440 Carver Woods Dr, Blue Ash, OH 45242-5529 | 2015-08-04 |
| 1639496458 | Rebecca Myer Henderson | Internal Medicine | 1381 Westgate Center Dr, Winston Salem, NC 27103-2934 | 2010-05-03 |
| 1316195985 | Rebecca Henderson | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2008-09-08 |
| 1508909771 | Rebecca Carr Henderson | Social Worker | 535 S 2nd Ave, Covina, CA 91723-3013 | 2007-02-15 |
| Street Address |
1508 TOMBRAS AVE |
| City | EAST RIDGE |
| State | TN |
| Zip Code | 37412-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295701795 | Diana Novakovic Kessler | Emergency Medicine | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2006-02-24 |
| 1821590993 | Wendy Kay Dodd | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-03-05 |
| 1033618228 | Hannah Chong | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-02-02 |
| 1225498090 | Amy Dawn Latham | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2016-03-07 |
| 1114397304 | Minna Rena Deluca | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-30 |
| 1134599715 | Amin Sohani | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-25 |
| 1265818983 | Jateum Mauree Blackburn | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-08-04 |
| 1710361480 | Rhonda Lynn Renfro | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-07-13 |
| 1790179984 | Natalie Kathryn Mcqueen | Physician Assistant | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-03-25 |
| 1932502218 | Connie Joellen Terrell | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2014-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831150549 | Carlina Lopez Pendon | Nurse Practitioner | 1508 Tombras Avenue, East Ridge, TN 37412-2720 | 2006-03-31 |
| 1013474352 | Chelsea Lane Gondek | Nurse Practitioner | 961 Spring Creek Rd Ste 300, East Ridge, TN 37412 | 2019-02-22 |
| 1821590993 | Wendy Kay Dodd | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-03-05 |
| 1033618228 | Hannah Chong | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2018-02-02 |
| 1225498090 | Amy Dawn Latham | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2016-03-07 |
| 1114397304 | Minna Rena Deluca | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-30 |
| 1134599715 | Amin Sohani | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-09-25 |
| 1265818983 | Jateum Mauree Blackburn | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-08-04 |
| 1710361480 | Rhonda Lynn Renfro | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2015-07-13 |
| 1932502218 | Connie Joellen Terrell | Nurse Practitioner | 1508 Tombras Ave, East Ridge, TN 37412-2720 | 2014-10-01 |
| Find all providers in EAST RIDGE | ||||
| City | EAST RIDGE |
| Zip Code | 37412 |
Please comment or provide details below to improve the information on REBECCA DYKES 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.