BONNI HENDERSON


Address: 6417 Sw Galley Ave, Lincoln City, OR 97367-1057
Phone: 5417207156

BONNI HENDERSON (NPI# 1649662735) 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) 1649662735
Entity Type Individual
Full Name BONNI HENDERSON
Credential RN
Practice Address 6417 Sw Galley Ave
Lincoln City
OR 97367-1057
Mailing Address 6417sw Galley Ave.
Lincoln City
OR 97367-1057
Practice Telephone 5417207156
Mailing Telephone 5417207156
Enumeration Date 2015-02-26
Last Update Date 2015-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC1500X Registered Nurse
Specialization: Community Health
200240946RN OR Nursing Service Providers
N 163WD0400X Registered Nurse
Specialization: Diabetes Educator
200240946RN OR Nursing Service Providers
Y 163WG0600X Registered Nurse
Specialization: Gerontology
200240946RN OR Nursing Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
200240946RN OR Nursing Service Providers

Office Location

Street Address 6417 SW GALLEY AVE
City LINCOLN CITY
State OR
Zip Code 97367-1057

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881256121 Amanda Suzanne Cherryholmes Peer Specialist 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367 2019-07-08
1982198719 Lakeside Family Dentistry Dentist 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 2018-06-15
1891282117 Mark J Lee Marriage & Family Therapist 412 Southwest Highway 101, Lincoln City, OR 97367 2018-04-23
1508130196 Michelle Marie Becker Pharmacist 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 2012-02-29
1457651465 Laurene Norelle Alcocer Pharmacist 4048 Ne Hwy 101, Lincoln City, OR 97367 2010-10-25
1518106228 Estate of Kevin L. Chancellor Dentist 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 2009-02-19
1346403656 Lincoln City Pharmacy & Gifts Pharmacy 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 2008-07-07
1841487139 Assisted Living Concepts Inc Assisted Living Facility 1400 Se 19th, Lincoln City, OR 97367 2007-10-01
1376741074 Frank Wesley Nettleship Dentist 9101 Keys Place, Lincoln City, OR 97367 2007-07-05
1306043989 Julie Anne Bass Case Manager/Care Coordinator 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 2007-06-28
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Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598253510 Casey Shillam Registered Nurse 5000 N Willamette Blvd # 153, Portland, OR 97203-5798 2018-04-25
1114459088 Genevieve Kathleen Shields Registered Nurse 5451 Se Belmont, Suite 100, Portland, OR 97215 2017-03-30
1902155823 Lisa Jill Miller Registered Nurse 4540 Ne Glisan, Portland, OR 97213 2012-09-06
1134477839 Megan Joanne Keller Registered Nurse 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 2012-08-28
1588996300 Margaret K Smith Registered Nurse 384 Glenn St, Ashland, OR 97520-1774 2010-02-03
1255335295 Brenda R Annotti Registered Nurse 3550 N Interstate Ave, Portland, OR 97227 2005-06-08
1033758198 Theresa Renee Seifer Registered Nurse 17727 E Burnside St, Portland, OR 97233-4803 2020-01-06
1336795228 Kathy Elaine Torres Registered Nurse 420 Ne Mason St, Portland, OR 97211-3479 2019-08-15
1316505381 Amy Katherine Owotor Registered Nurse 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 2019-06-04
1790343952 Penni Kleber Registered Nurse 4540 Ne Glisan St, Portland, OR 97213-2333 2019-06-03
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Competitor

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City LINCOLN CITY
Zip Code 97367

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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