MR. COREY EVAN HENDERSON (NPI# 1568834224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568834224 |
| Entity Type | Individual |
| Full Name | MR. COREY EVAN HENDERSON |
| Credential | ARNP |
| Practice Address |
4958 Sun N Lake Blvd Sebring FL 33872 |
| Mailing Address |
4958 Sun N Lake Blvd Sebring FL 33872-2167 |
| Practice Telephone | 8633858004 |
| Practice Fax Number | 8633852330 |
| Mailing Telephone | 8633858004 |
| Mailing Fax Number | 8633852330 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
ARNP9310474 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 015937300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052314 | Corey J Henderson | Physical Therapist | 171 W Crawford Ave, Connellsville, PA 15425-3526 | 2018-02-06 |
| 1508212325 | Corey Henderson | Counselor | 501 S Sharon Amity Rd, Suite 500, Charlotte, NC 28211-2896 | 2016-05-11 |
| 1548633092 | Corey Alan Henderson | Pharmacist | 510 Woodburn Rd, Raleigh, NC 27605-1326 | 2015-11-05 |
| 1790911766 | Corey Michael Henderson | Physical Therapist | 310 S 5th St, Gadsden, AL 35901-4224 | 2009-06-04 |
| 1346248903 | Corey H Henderson | Internal Medicine | 1879 Nightingale Ln, Ste B4, Tavares, FL 32778-4363 | 2005-07-08 |
| Street Address |
4958 SUN N LAKE BLVD |
| City | SEBRING |
| State | FL |
| Zip Code | 33872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048495 | Raisa D Camilo | Pediatrics | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2005-10-21 |
| 1518596964 | Taja Brie Ana Bieler | Physician Assistant | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2020-04-07 |
| 1881139491 | Kady Nicole Pryde | Physician Assistant | 4958 Sun N Lake Blvd, Ste B, Sebring, FL 33872-2167 | 2017-01-05 |
| 1578005765 | Barbara Joseph | Nurse Practitioner | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2016-11-06 |
| 1639375165 | Sun 'n Lake Medical Group,pa | Clinic/Center | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2007-06-22 |
| 1689633836 | Terri Pam Allred | Nurse Practitioner | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2006-03-17 |
| 1740270545 | Miguel F Beltre | Internal Medicine | 4958 Sun N Lake Blvd, Suite A, Sebring, FL 33872-2167 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609382738 | Georgiann Rice | Counselor | 4844 Sun N' Lake Blvd., Central Florida Neuropsychology, Sebring, FL 33872 | 2017-12-27 |
| 1124569751 | Zechariah Paolo Martinez Dominguez | Nurse Practitioner | 4421 Sun N Lake Blvd Ste C, Sebring, FL 33872 | 2017-03-15 |
| 1265752158 | Livia Machado Blanchette | Pharmacist | Adventhealth Florida Hospital Heartland, 4200 Sun N Lake Boulevard, Sebring, FL 33872 | 2010-06-02 |
| 1932421989 | Renuka Deonarinesingh | Physician Assistant | 4958 Sun 'n Lake Blvd, Sebring, FL 33872 | 2010-02-18 |
| 1568624427 | Deepti Bhandare | Internal Medicine | 4638 Sun'n Lake Blvd, Sebring, FL 33872 | 2008-07-01 |
| 1154527687 | Jennifer Marie Ushka | Speech-Language Pathologist | 4501 Darnell Dr, Sebring, FL 33872 | 2007-06-22 |
| 1922024850 | Roger Lee Wittum | Internal Medicine | 4240 Sun 'n Lake Boulevard, Suite 202, Sebring, FL 33872 | 2006-07-14 |
| 1902835176 | Shahnaz Punjani | Internal Medicine | 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872 | 2006-07-01 |
| 1467450171 | Ronald Andrew Chee-awai | Urology | 4325 Sun 'n Lake Blvd, Suite 105, Fhhmc Urology Specialists, Sebring, FL 33872 | 2005-07-07 |
| 1699315887 | Kir Advance Medical Transportation.inc | Private Vehicle | 4117 Cortez Blvd, Sebring, FL 33872 | 2020-01-15 |
| Find all providers in zip 33872 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427548593 | Amelia Gleber | Nurse Practitioner | 4420 Sun N Lake Blvd, Sebring, FL 33872-2164 | 2018-05-15 |
| 1578005765 | Barbara Joseph | Nurse Practitioner | 4958 Sun N Lake Blvd, Sebring, FL 33872-2167 | 2016-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871724 | Brenna Schulman | Nurse Practitioner | 6859 Sw 18th St Ste 200, Boca Raton, FL 33433-7015 | 2020-11-04 |
| 1245831726 | Sydia Spence | Nurse Practitioner | 8001 Nw 66th Ter, Tamarac, FL 33321-7015 | 2020-11-02 |
| 1598365165 | Fernande Simeon | Nurse Practitioner | 6490 Nw 55th St, Coral Springs, FL 33067-2710 | 2020-10-31 |
| 1780284596 | Corrective Spinal Care Inc | Nurse Practitioner | 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 | 2020-10-30 |
| 1023617420 | John Bertram Garrett Iv | Nurse Practitioner | 5079 Garrett Rd, Malone, FL 32445-3409 | 2020-10-19 |
| 1518565894 | Karen Giselle Reyes | Nurse Practitioner | 4563 Perth Rd, West Palm Beach, FL 33415-2811 | 2020-10-09 |
| 1265039424 | Catherine Dettelbach Lake | Nurse Practitioner | 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 | 2020-10-01 |
| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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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.