KIRSTIN HENLEY


Address: 333 N Santa Rosa St, San Antonio, TX 78207-3108
Phone: 2107042011

KIRSTIN HENLEY (NPI# 1720408578) 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) 1720408578
Entity Type Individual
Full Name KIRSTIN HENLEY
Credential M.D.
Practice Address 333 N Santa Rosa St
San Antonio
TX 78207-3108
Mailing Address 8708 Turning Leaf
Boerne
TX 78015-6517
Practice Telephone 2107042011
Mailing Telephone 3316252577
Enumeration Date 2014-04-21
Last Update Date 2020-05-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
R2615 TX Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3100 Sw 62nd Ave, Miami, FL 331553009 3056638462

Office Location

Street Address 333 N SANTA ROSA ST
City SAN ANTONIO
State TX
Zip Code 78207-3108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831191071 Martha Ruth Morse Pediatrics 333 N Santa Rosa St, San Antonio, TX 78207-3108 2005-06-01
1629698816 Shanice Latham Student in an Organized Health Care Education/Training Program 333 N Santa Rosa St, San Antonio, TX 78207-3108 2020-04-17
1568082899 Francesca Michelle Lormeus Student in an Organized Health Care Education/Training Program 333 N Santa Rosa St, San Antonio, TX 78207-3108 2020-04-16
1396387999 Rachel H Brownlee-kurita Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-10-15
1063063691 Madeline Berndt Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
1093366627 Valerie Lynn O'bar Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
1578114104 Taryn Prado Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
1891346417 Emily Bitetto Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
1164073789 Amy Bellanger Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
1083265656 Christus Santa Rosa Health Care Corporation Dietitian, Registered 333 N Santa Rosa St, San Antonio, TX 78207-3108 2019-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457999849 Eri Industries, LLC, Dba Eri Group Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2300 W. Commerce#216, San Antonio, TX 78207 2019-12-16
1164087854 Jesse G Trevino Student in an Organized Health Care Education/Training Program 700 S Zarzamora Ste 209, San Antonio, TX 78207 2019-05-08
1669036869 Anjali Patel Student in an Organized Health Care Education/Training Program 903 W. Martin Street, San Antonio, TX 78207 2019-04-24
1811488257 Thomas Ellis Tippit Sr. Dentist 711 North Frio St, San Antonio, TX 78207 2018-05-22
1619426053 Erica Annotti Nurse Practitioner 903 W Martin St Fl 6, San Antonio, TX 78207 2016-09-27
1801255435 Mona Anwar El-kady Audiologist 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 2016-02-10
1053785683 Lisa Marie Ramos Speech-Language Pathologist 230 Rounds, San Antonio, TX 78207 2015-11-19
1568840221 Gabriel Tamayo Physical Therapist 701 S Zarzarmora, San Antonio, TX 78207 2015-05-14
1588042717 Priya Amin Podiatrist 701 S Zarzamora St Ste 2120, San Antonio, TX 78207 2015-05-07
1437545837 Jesse Banales Student in an Organized Health Care Education/Training Program 333 North Santa Road, Ccf-f3725, San Antonio, TX 78207 2015-04-13
Find all providers in zip 78207

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619934098 Candace Campos Kenton Pediatrics 302 W Lynwood Ave, San Antonio, TX 78212-2592 2006-04-28
1831156595 Samuel L. Zuckerman Pediatrics 315 N San Saba Ste 1135, San Antonio, TX 78207-3255 2006-04-27
1386601888 Najmul H. Salman Pediatrics 11019 Culebra Rd Ste 155, San Antonio, TX 78253-4519 2006-04-27
1104219781 Pediatric Inpatient Critical Care Services Pa Pediatrics 520 Madison Oak Dr, San Antonio, TX 78258-3913 2015-03-06
1487061321 Niveditha Balakumar Pediatrics 333 N Santa Rosa St, San Antonio, TX 78207-3108 2014-07-11
1871850487 Magdelenis Gongora Pediatrics 4502 Medical Dr, San Antonio, TX 78229 2012-04-19
1255604104 Utpal S Bhalala Pediatrics 315 N San Saba, Suite 1135, San Antonio, TX 78207-3154 2012-02-22
1528395985 Mohammed Salameh Pediatrics 333 N Santa Rosa St, San Antonio, TX 78207-3108 2009-11-05
1598921223 Childrens Critical Care Specialists Pllc Pediatrics 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 2008-08-01
1588821797 Thomas Jacob Lee Jr. Pediatrics Brooke Army Medical Center, 3551 Roger Brooke Dr, San Antonio, TX 78234 2008-05-16
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Competitor

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City SAN ANTONIO
Zip Code 78207

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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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