MS. JACQUELINE HENDERSON (NPI# 1851600233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851600233 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE HENDERSON |
| Credential | RN |
| Practice Address |
4219 Laclede Ave Suite B Saint Louis MO 63108-2814 |
| Practice Telephone | 3142864545 |
| Practice Fax Number | 3142864542 |
| Mailing Telephone | 3142864545 |
| Mailing Fax Number | 3142864542 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
073190 | MO | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI STATE BOARD OF NURSING | 073190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366851925 | Jacqueline Henderson | Contractor | 1601 Crabapple Cove Ct N, Jacksonville, FL 32225-2500 | 2014-08-07 |
| 1669035846 | Jacqueline Henderson | Registered Nurse | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2019-04-15 |
| 1700382041 | Jacqueline Henderson | Technician | 1215 49th St Ne, Washington, DC 20019-3937 | 2018-04-04 |
| 1801131560 | Jacqueline Henderson | Counselor | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2012-12-06 |
| 1033366331 | Jacqueline A Henderson | Physical Therapist | 110 E 42nd St, Suite 1504, New York, NY 10017-5611 | 2008-08-19 |
| 1366482358 | Jacqueline Henderson | Emergency Medicine | 301 W Homer St, Michigan City, IN 46360-4358 | 2006-06-07 |
| Street Address |
4219 LACLEDE AVE SUITE B |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477697746 | Laura E. Romer | Clinical Nurse Specialist | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2007-02-19 |
| 1083054787 | Independence Center | Psychiatry & Neurology | 4219 Laclede Ave, Saint Louis, MO 63108-2814 | 2013-06-27 |
| 1588919567 | Tamlyn Michelle Ashford | Social Worker | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2012-07-17 |
| 1689942278 | Stephanie Natasha Gipson | Licensed Practical Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2011-12-09 |
| 1164715306 | Barbara Lynn Devos-schoenig | Social Worker | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2011-05-20 |
| 1821307208 | Deborah L Griffin | Registered Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2010-10-01 |
| 1508175977 | Janet Markham | Registered Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2010-10-01 |
| 1174668289 | Independence Center | Psychiatry & Neurology | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831751270 | Patricia Czosnyka | Registered Nurse | 9013 W Swan Cir, Saint Louis, MO 63144-1621 | 2019-07-06 |
| 1144766585 | Ellen Rehg | Registered Nurse | 4549 Gibson Ave, Saint Louis, MO 63110-1519 | 2017-01-09 |
| 1538315007 | Gina Louise Mesnier | Registered Nurse | 3525 Caroline St, Saint Louis, MO 63104-1007 | 2008-08-14 |
| 1316577612 | Jessica Lynn Miller | Registered Nurse | 1430 Olive St Ste 100, Saint Louis, MO 63103-2303 | 2020-01-25 |
| 1467822064 | Sandra Fox | Registered Nurse | 1 Jefferson Barracks Rd, Saint Louis, MO 63125-4181 | 2015-09-25 |
| 1871961177 | Sheryl Ann Paradine | Registered Nurse | 1430 Olive St, Saint Louis, MO 63103-2303 | 2015-09-03 |
| 1770913089 | Matthew Charles | Registered Nurse | 10004 Kennerly Rd, Ste 364b, Saint Louis, MO 63128-2141 | 2013-11-22 |
| 1558623215 | Mary L Lages | Registered Nurse | 1 Jefferson Barracks Dr, Saint Louis, MO 63125-4181 | 2012-06-08 |
| 1821307208 | Deborah L Griffin | Registered Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2010-10-01 |
| 1508175977 | Janet Markham | Registered Nurse | 4219 Laclede Ave, Suite B, Saint Louis, MO 63108-2814 | 2010-10-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on MS. JACQUELINE HENDERSON.
| 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.