RAEANN HENDERSON (NPI# 1720524390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720524390 |
| Entity Type | Individual |
| Full Name | RAEANN HENDERSON |
| Practice Address |
3510 Swaffer Rd Millington MI 48746-9055 |
| Practice Telephone | 9898716274 |
| Mailing Telephone | 9898716274 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | H536730603065 | MI | Student, Health Care |
| Street Address |
3510 SWAFFER RD |
| City | MILLINGTON |
| State | MI |
| Zip Code | 48746-9055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942475157 | Millington Dental PC | Dentist | 4696 East Main, Millington, MI 48746 | 2008-04-29 |
| 1114965621 | Restoring Smiles | Dentist | 4780 Industrial Drive, Millington, MI 48746 | 2006-06-04 |
| 1851435093 | Patrick M. Hurst | Social Worker | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-02-19 |
| 1750425435 | Richard O Watkins II | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2007-02-16 |
| 1942460639 | Sandra Hurst | Counselor | 8361 Ellis Rd, Millington, MI 48746-0359 | 2008-06-16 |
| 1588844336 | Tammy Joette Birkenmeier | Counselor | 8361 Ellis Rd., Millington, MI 48746-0359 | 2007-11-09 |
| 1013408624 | Lorrie Ann Thams | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-05-21 |
| 1487148250 | Jennie Lynne Aeder | Counselor | 5397 Millington Rd, Millington, MI 48746-8701 | 2018-06-15 |
| 1023110780 | Sridhar A Rao | Family Medicine | 9030 State Rd, Millington, MI 48746-8902 | 2006-09-02 |
| 1073689741 | Eugene Leonard Surmont | Dentist | 9030 State Rd, Millington, MI 48746-8902 | 2006-11-27 |
| Find all providers in zip 48746 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878926 | Lashelle Renee Gwynn-melton | Student in an Organized Health Care Education/Training Program | 6181 Old Millington Rd, Millington, TN 38053-7439 | 2019-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 48746 |
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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.