MRS. SHANA MARIE HENDERSON (NPI# 1669012571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669012571 |
| Entity Type | Individual |
| Full Name | MRS. SHANA MARIE HENDERSON |
| Credential | NP |
| Practice Address |
39301 Shree Rd Temecula CA 92591-7284 |
| Practice Telephone | 8582321222 |
| Mailing Telephone | 8582321222 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP95013315 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39301 SHREE RD |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-7284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747082 | Eligio David Panganiban Soliman Jr. | Nurse Practitioner | 31515 Rancho Pueblo Rd Ste 205, Temecula, CA 92592-4837 | 2020-07-08 |
| 1750943171 | Bridget Eileen Johnson | Nurse Practitioner | 46421 Canyon Crest Ct, Temecula, CA 92592-4219 | 2019-07-05 |
| 1386202877 | Victoria Rose Gulotta | Nurse Practitioner | 31162 Strawberry Tree Ln, Temecula, CA 92592-4182 | 2019-05-30 |
| 1790242303 | Dorie Michelle Love-ashby | Nurse Practitioner | 29811 Del Rey Rd, Temecula, CA 92591-1810 | 2019-03-01 |
| 1083198147 | Amanda Sawires Yager | Nurse Practitioner | 28360 Old Town Front St, #544, Temecula, CA 92593-7023 | 2018-09-24 |
| 1497258669 | Ngozi Chidiuto Christopher | Nurse Practitioner | 31493 Rancho Pueblo Rd Ste 107, Temecula, CA 92592-4833 | 2018-03-14 |
| 1306353172 | Rhona Mae Sitjar | Nurse Practitioner | 33205 Us Highway 79, Temecula, CA 92592-9142 | 2018-01-03 |
| 1861941403 | Corranda Kosciolek | Nurse Practitioner | 26531 Ynez Rd, Temecula, CA 92591-4630 | 2016-09-23 |
| 1972059921 | Salvatore Ausonio | Nurse Practitioner | 32487 Bergamo Ct, Temecula, CA 92592-3886 | 2016-08-30 |
| 1023482023 | Kimberly Rae Stalnaker | Nurse Practitioner | 31170 Temecula Pkwy Ste 100, Temecula, CA 92592-2915 | 2015-11-15 |
| Find all providers in TEMECULA | ||||
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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.