MS. CAROL A HENNESSY (NPI# 1700825684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700825684 |
Entity Type | Individual |
Full Name | MS. CAROL A HENNESSY |
Credential | NP |
Practice Address |
12662 Fm 1314 Rd Conroe TX 77302-3443 |
Mailing Address |
Po Box 158 Espanola NM 87532-0158 |
Practice Telephone | 9365248540 |
Mailing Telephone | 5057537218 |
Mailing Fax Number | 5057477396 |
Enumeration Date | 2006-06-06 |
Last Update Date | 2017-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
250508 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBSTX | 8Y3459 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639196314 | Carol Hennessy | Nurse Practitioner | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-07-17 |
1508892993 | Carol Hennessy | Occupational Therapist | 1240 New Scotland Rd Ste 100, Slingerlands, NY 12159-9222 | 2006-06-25 |
Street Address |
12662 FM 1314 RD |
City | CONROE |
State | TX |
Zip Code | 77302-3443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518215953 | Patricia Lynn Feder | Speech-Language Pathologist | 13258 Chappel Wood Ln., Conroe, TX 77302 | 2012-08-15 |
1982879482 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 11133 Interstate 45 S, Suite F, Conroe, TX 77302 | 2008-04-25 |
1497026827 | Strawberry Lane | Skilled Nursing Facility | 417 Oakland Ln, Conroe, TX 77302-1216 | 2012-01-17 |
1043751092 | Michael Bouley | Occupational Therapy Assistant | 808 Woodland Ln, Conroe, TX 77302-1218 | 2017-03-09 |
1548760127 | Willa Pauline Mullen | Licensed Vocational Nurse | 599 Texas Park, Conroe, TX 77302-2005 | 2018-02-20 |
1982956033 | Conroe Diagnostic Imaging, Inc | Clinic/Center | 371 Cumberland Trl, Conroe, TX 77302-2903 | 2012-10-12 |
1316584642 | Village Care Homes, LLC | Alzheimer Center (Dementia Center) | 414 Stephen F Austin Dr, Conroe, TX 77302-3140 | 2019-12-05 |
1235743790 | Little Sprouts Occupational Therapy | Occupational Therapist | 13240 Autumn Ash Dr, Conroe, TX 77302-3143 | 2020-09-02 |
1295045284 | Nevaeh Incorporated | Home Health | 13209 Autumn Ash Dr, Conroe, TX 77302-3144 | 2010-10-08 |
1497243398 | Lydia Oelschlaeger | Registered Nurse | 13855 Creighton Rd, Conroe, TX 77302-3316 | 2018-04-25 |
Find all providers in zip 77302 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
1891339958 | Laura Overton | Nurse Practitioner | 4714 Fm 1488 Rd # Ate132, Conroe, TX 77384-4928 | 2019-11-01 |
1912558990 | Natalie Del Angel | Nurse Practitioner | 9803 Highway 242 Ste 300, Conroe, TX 77385-4369 | 2019-09-22 |
1427606763 | Trevor Martin Cobb | Nurse Practitioner | 3708 W Davis St # L, Conroe, TX 77304-1865 | 2019-08-29 |
1881256535 | Pragya Giri | Nurse Practitioner | 8139 Spreadwing St, Conroe, TX 77385-1115 | 2019-07-02 |
1568027613 | Sarah E Vickers | Nurse Practitioner | 2660 S Woodloch St, Conroe, TX 77385-8556 | 2019-05-03 |
1841758828 | Claudis Andrew Martin | Nurse Practitioner | 15197 Moonlight Trl, Conroe, TX 77384-3543 | 2019-03-07 |
1417414483 | Renee Martha Walker | Nurse Practitioner | 245 Fm 1488 Rd Apt 801, Conroe, TX 77384-3906 | 2019-02-26 |
1467919530 | Monica M Milford | Nurse Practitioner | 419 Oak Stream Dr, Conroe, TX 77304-5627 | 2019-02-25 |
1871057661 | Natasha Marie Berkowitz | Nurse Practitioner | 12250 Little Blue Heron Ln, Conroe, TX 77304-1688 | 2019-01-25 |
Find all providers in CONROE |
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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.