MRS. DELORES CLACK HENDERSON


Address: 1615 Misty Fawn Ln, Fresno, TX 77545-9502
Phone: 7134100475

MRS. DELORES CLACK HENDERSON (NPI# 1558702035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558702035
Entity Type Individual
Full Name MRS. DELORES CLACK HENDERSON
Practice Address 1615 Misty Fawn Ln
Fresno
TX 77545-9502
Practice Telephone 7134100475
Mailing Telephone 7134100475
Enumeration Date 2013-07-11
Last Update Date 2013-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DT01206 TX Dietary & Nutritional Service Providers

Office Location

Street Address 1615 MISTY FAWN LN
City FRESNO
State TX
Zip Code 77545-9502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780100610 Schristiandevelopment Day Training, Developmentally Disabled Services 3819 Teal Maple Ct., Fresno, TX 77545 2017-08-22
1548786924 Katreece M Bell Nurse Practitioner 1834 Bravos Manor Lane, Fresno, TX 77545 2017-08-17
1275912735 Evosource Non-emergency Medical Transport (VAN) 1307 Peacham Ct, Fresno, TX 77545 2015-05-29
1407241300 Gwendolyn Champion Physician Assistant 4026 E Teal Estates Cir, Fresno, TX 77545 2015-03-30
1811394745 Elaine Khuong Pharmacist 12225 Sr 6, Fresno, TX 77545 2014-11-20
1225442551 Michael Jerome Tubbs Specialist/Technologist, Other 2126 Beacon Light Ln, Fresno, TX 77545 2014-06-14
1801219431 Angelica Healthcare Services Home Health 3003 Valian Elm Street, Fresno, TX 77545 2014-02-03
1801048376 Kroger Texas L P Pharmacy 10250 Fresno State Hwy 6, Fresno, TX 77545 2008-10-16
1215188818 Kroger Texas Lp Pharmacy 10250 State Hwy 6, Fresno, CA 77545 2008-10-02
1528243201 M & H Home Care Inc. Home Health 1335 Hunter Green Lane, Fresno, TX 77545 2007-12-31
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891393062 Melanie Thomas Dietitian, Registered 4722 Pickridge Ct, Fresno, TX 77545-7529 2020-10-11
1093345423 Mary Clare Ovalle Dietitian, Registered 10290 N Dearing Ave, Fresno, CA 93730-4772 2020-01-24
1669939385 Lisa Herzig Dietitian, Registered 9898 N Millbrook Ave, Fresno, CA 93720-1313 2019-02-28
1063927655 Teryn Cook Buchanan Dietitian, Registered 5305 N Fresno St Ste 103, Fresno, CA 93710-6845 2017-12-05
1801329214 Leonila Campos Dietitian, Registered 4115 W Fremont Ave, Fresno, CA 93722-9001 2017-04-04
1770027583 Lisa Naomi Martinez Dietitian, Registered 1816 W Cornell Ave, Fresno, CA 93705-3710 2016-12-13
1932641743 Jana Mowrer Dietitian, Registered 6840 N Maple Ave Apt 258, Fresno, CA 93710-4587 2016-11-09
1245782515 Danielle Lee Dietitian, Registered 842 E Fir Ave, Fresno, CA 93720-3232 2016-11-02
1942754932 Emily Valdez Dietitian, Registered 2610 E Nees Ave Apt 272, Fresno, CA 93720-6023 2016-08-08
1780051417 Alice Voluntad Dietitian, Registered 5522 N Ellendale Ave, Fresno, CA 93722-2507 2015-08-28
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 77545

Improve Information

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Dataset Information

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.

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