MR. JOHN C HENRY (NPI# 1770025603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770025603 |
| Entity Type | Individual |
| Full Name | MR. JOHN C HENRY |
| Credential | FNP |
| Practice Address |
1010 W Clay Street Danville IL 61832-4368 |
| Practice Telephone | 2174317200 |
| Practice Fax Number | 2174318000 |
| Mailing Telephone | 2174317200 |
| Mailing Fax Number | 2174318000 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209014897 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LIC NUMBER | 209014897 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164772091 | John Henry | Counselor | 768 Mystic Ave, Terrytown, LA 70056-3006 | 2012-09-18 |
| 1487967295 | John Henry | Physical Therapist | 3 Cori St, Parlin, NJ 08859-1719 | 2010-07-21 |
| 1790011559 | John T Henry | Student in an Organized Health Care Education/Training Program | Las Gaviotas B3, Fajardo, PR 00738-1128 | 2009-10-28 |
| 1013138031 | John R Henry | Pharmacist | 174 First New Hampshire Turnpike, Northwood, NH 03261-3400 | 2007-05-01 |
| 1447316922 | John William Henry | Orthopaedic Surgery | 2601 Hospital Blvd Ste 207, Corpus Christi, TX 78405-1858 | 2006-12-28 |
| 1710069117 | John Brett Henry | Dentist | 1408 N Sioux, Claremore, OK 74017 | 2006-10-19 |
| 1033208244 | John Raymond Henry | Chiropractor | 5 Norfolk Ave, South Easton, MA 02375-1200 | 2006-10-12 |
| 1568556017 | John C Henry | Dermatology | 207 N. Union, Suite C, Roswell, NM 88201 | 2006-10-02 |
| 1417909946 | John Clay Henry | Dentist | 204 W Sherman St, Caro, MI 48723-1534 | 2006-05-16 |
| 1043260318 | John George Henry | Surgery | 1050 Las Tablas Road, Suite 2, Templeton, CA 93465-9729 | 2006-05-10 |
| Street Address |
1010 W CLAY STREET |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626585 | Dustin Mikesell | Nurse Practitioner | 1000 E Main St Ste 104, Danville, IN 46122-1948 | 2020-10-16 |
| 1356958565 | Kenneth Neal Hawker Jr. | Nurse Practitioner | 136 Capri Ct, Danville, VA 24541-5116 | 2020-09-30 |
| 1134752546 | Jeanette Marie Hay | Nurse Practitioner | 7 Manor Dr Ste B, Danville, IN 46122-9402 | 2020-02-14 |
| 1194297853 | Maurice Roberts | Nurse Practitioner | Godocs LLC, 949 Piney Forest Road, Danville, VA 24540-1591 | 2018-12-19 |
| 1811465461 | Amelia Brown | Nurse Practitioner | 101 Citation Dr Ste C, Danville, KY 40422-9227 | 2018-11-12 |
| 1326529827 | Danville Medical Specialty | Nurse Practitioner | 504 Tenikat St, Danville, KY 40422-1751 | 2018-08-23 |
| 1528548328 | Abby Young | Nurse Practitioner | Danville Health Center, 26 Cedar Ln, Danville, VT 05828-0185 | 2018-08-21 |
| 1730668377 | Kristen Chilton Grabowski | Nurse Practitioner | 125 Executive Dr Ste J, Danville, VA 24541-4155 | 2018-08-13 |
| 1447761952 | April Yeatts Giles | Nurse Practitioner | 404 Airport Dr Ste A, Danville, VA 24540-5196 | 2017-10-24 |
| 1467970715 | Amelia Nicole Stevens I | Nurse Practitioner | 478 Whirlaway Dr Ste 200, Danville, KY 40422-9037 | 2017-09-07 |
| Find all providers in DANVILLE | ||||
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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.