KRISTIN LEE HENDERSON (NPI# 1780141770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780141770 |
| Entity Type | Individual |
| Full Name | KRISTIN LEE HENDERSON |
| Credential | PA-C |
| Practice Address |
171 Nc Highway 125 Roanoke Rapids NC 27870-6460 |
| Mailing Address |
120 William Penn Plz Durham NC 27704-2150 |
| Practice Telephone | 2525375631 |
| Practice Fax Number | 9193131276 |
| Mailing Telephone | 9192205255 |
| Mailing Fax Number | 9193131276 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-08880 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC MEDICAL LICENSE | 0010-08880 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679843528 | Kristin Orr Henderson | Massage Therapist | 6200 Pfeiffer Road, Trihealth Fitness & Health Pavilion, Cincinnati, OH 45242 | 2012-01-10 |
| 1245451061 | Kristin Henderson | Registered Nurse | 1305 Chilton Drive, Silver Spring, MD 20904 | 2007-05-01 |
| 1508358763 | Kristin K Henderson | Physical Therapist | 585 E Flint St, Lake Orion, MI 48362-3209 | 2018-06-04 |
| 1093261232 | Kristin Henderson | Registered Nurse | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2016-08-28 |
| 1174957286 | Kristin Jaye Henderson | Registered Nurse | 519 Latham Dr, Lowell, AR 72745-8360 | 2013-08-26 |
| 1730413485 | Kristin J Henderson | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157 | 2009-09-29 |
| 1497959472 | Kristin Jane Henderson | Speech-Language Pathologist | 6508 Gunn Highway, Tampa, FL 33625-4022 | 2007-06-13 |
| Street Address |
171 NC HIGHWAY 125 |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-6460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536714 | Keith Leon Hutchins Jr. | Physician Assistant | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2005-08-30 |
| 1790137065 | Adrian Dunn | Specialist/Technologist | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2016-07-11 |
| 1548639602 | Sarah Louanne Curry | Physician Assistant | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2015-09-18 |
| 1871836601 | Scott Michael Martin | Podiatrist | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2013-03-29 |
| 1912199894 | Donna E. Fender | Physical Therapist | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2007-08-14 |
| 1912035593 | Northern Carolina Orthopaedics, Pllc | Orthopaedic Surgery | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2007-03-02 |
| 1457424764 | John Simpson Moss | Orthopaedic Surgery | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2006-11-16 |
| 1144331901 | Teresa Riggs Myrick | Physical Therapist | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2006-08-31 |
| 1285605642 | Richard Phillip Holm | Orthopaedic Surgery | 171 Nc Highway 125, Roanoke Rapids, NC 27870 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1780091918 | Kelly Mclean | Physician Assistant | 257 Nc Highway 125, Roanoke Rapids, NC 27870-6455 | 2014-07-21 |
| 1295932457 | Kim Anh Thi Dang | Physician Assistant | 257 Highway 125, Roanoke Rapids, NC 27887 | 2007-06-29 |
| 1013915388 | Sonya S Bullock | Physician Assistant | 130 Cardinal Dr, Roanoke Rapids, NC 27870-4946 | 2005-07-12 |
| 1407212699 | Brandon Colby Carlisle | Physician Assistant | 306 Becker Dr., Roanoke Rapids, NC 27870 | 2016-01-05 |
| 1548639602 | Sarah Louanne Curry | Physician Assistant | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2015-09-18 |
| 1093713117 | Carlton Reid Beaman Jr. | Physician Assistant | 130 Cardinal Dr, Roanoke Rapids, NC 27870-4946 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
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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.