MR. JUSTIN HENSON (NPI# 1801272133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801272133 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN HENSON |
| Credential | RN |
| Practice Address |
1520 S Bryant Ave Edmond OK 73013-6028 |
| Mailing Address |
3201 Belmont Cir Edmond OK 73034-7233 |
| Practice Telephone | 9188890182 |
| Mailing Telephone | 9188890182 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 103951 | OK | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
103951 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | NURSE PRACTITIONER - FAMILY | 1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780057091 | Justin Travis Henson | Specialist/Technologist | 911 Atlantic Ave, Boling, TX 77420 | 2015-11-09 |
| Street Address |
1520 S BRYANT AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-6028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841394673 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2006-09-12 |
| 1023623923 | Elizabeth Stanfield Carradini | Nurse Practitioner | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2020-09-09 |
| 1861027682 | Kathleen Marie Brown | Nurse Practitioner | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2020-03-12 |
| 1639733595 | Kayla Ann Rice | Nurse Practitioner | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2019-04-25 |
| 1962997833 | James Kirk | Pharmacist | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2018-06-24 |
| 1447762158 | Danielle Pearson | Pharmacist | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2017-11-02 |
| 1902318777 | Sheri Michele Dreisker | Pharmacist | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2017-11-01 |
| 1760994537 | Gabrielle Kinser | Pharmacist | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2017-11-01 |
| 1841711488 | Oshani Pieris-steelman | Nurse Practitioner | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2017-07-05 |
| 1992174973 | Ashley Henson | Registered Nurse | 1520 S Bryant Ave, Edmond, OK 73013-6028 | 2015-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1568069185 | Ancie Madden | Nurse Practitioner | 153 Ledgemont Dr, Edmond, OK 73013-1693 | 2020-10-06 |
| 1932712973 | Katrina Michelle Todd | Nurse Practitioner | 3908 Lakeshire Ridge Ct, Edmond, OK 73034-1049 | 2020-08-28 |
| 1215554662 | Emily Kathyrn Cockrell | Nurse Practitioner | 133 Kimberly Dr, Edmond, OK 73003-2376 | 2020-07-01 |
| 1982226361 | Covid Busters, LLP | Nurse Practitioner | 1632 Camden Way, Edmond, OK 73013-2939 | 2020-05-08 |
| 1235759291 | Sara Elizabeth Lacy-antonelli | Nurse Practitioner | 311 S Rankin St, Edmond, OK 73034-5345 | 2020-04-20 |
| 1528608551 | Stacey Lynn Lowery | Nurse Practitioner | 16212 Scissortail Dr, Edmond, OK 73013-9422 | 2020-01-07 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1700447356 | Jeana Backus | Nurse Practitioner | 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013-8558 | 2019-06-25 |
| 1366001315 | Kara Nicole De La Pena | Nurse Practitioner | 1501 N Midwest Blvd, Edmond, OK 73034-8412 | 2019-06-12 |
| Find all providers in EDMOND | ||||
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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.