MRS. LINDA KATHERINE HENDERSON (NPI# 1861404063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861404063 |
| Entity Type | Individual |
| Full Name | MRS. LINDA KATHERINE HENDERSON |
| Credential | FNP |
| Practice Address |
1551 Professional Ln Suite 235 Longmont CO 80501-6972 |
| Practice Telephone | 7204944700 |
| Practice Fax Number | 7204944706 |
| Mailing Telephone | 7204944700 |
| Mailing Fax Number | 7204944706 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5671 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 94836850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898230 | Linda Jo Henderson | Technician | 1375 1st St Ste B, Arcadia, LA 71001-3530 | 2020-07-09 |
| 1528147550 | Linda Reed Henderson | Pediatrics | 3004 Belhaven St, Bakersfield, CA 93304-5509 | 2006-11-02 |
| 1336223643 | Linda Henderson | Nurse Practitioner | 1601 North Dickinson, Rusk, TX 75785-0318 | 2006-10-24 |
| 1396384020 | Linda Henderson | Peer Specialist | 4310 S Grand St, Monroe, LA 71202-6322 | 2019-12-28 |
| 1154723716 | Linda Henderson | Counselor | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2014-09-25 |
| 1023438157 | Linda Henderson | Specialist | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2014-04-16 |
| 1629350681 | Linda Henderson | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330 | 2011-09-15 |
| Street Address |
1551 PROFESSIONAL LN SUITE 235 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-6972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396745683 | Kevin W Riddleberger | Physician Assistant | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2005-07-28 |
| 1225639008 | Alan E Benson, Md, PC | Specialist | 1551 Professional Ln, Longmont, CO 80501-6972 | 2020-11-06 |
| 1821540360 | Kathleen Retzke | Specialist/Technologist | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2016-11-01 |
| 1235688300 | Stephanie Caroline Wilson | Physician Assistant | 1551 Professional Ln, Suite 220, Longmont, CO 80501-6972 | 2016-09-29 |
| 1629527494 | Cher LLC | Radiology | 1551 Professional Ln, Suite 175, Longmont, CO 80501-6972 | 2016-09-22 |
| 1699156299 | Emily Orient Harris | Physical Therapist | 1551 Professional Ln, Suite 145, Longmont, CO 80501-6972 | 2015-06-09 |
| 1508261165 | Jennifer Robinson | Massage Therapist | 1551 Professional Ln, Suite 180, Longmont, CO 80501-6972 | 2014-10-24 |
| 1548663768 | Kiley Stavnes | Specialist/Technologist | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2014-10-01 |
| 1861892986 | William Underwood | Acupuncturist | 1551 Professional Ln, Suite 180, Longmont, CO 80501-6972 | 2014-08-26 |
| 1427479534 | Dean Hocking | Acupuncturist | 1551 Professional Ln, Longmont, CO 80501-6972 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962039172 | Christina Pauline Abbott | Nurse Practitioner | 2125 Sicily Cir, Longmont, CO 80503-4187 | 2020-03-26 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1790189660 | Shelby Salley Banks | Nurse Practitioner | 4501 Nelson Rd Unit 2104, Longmont, CO 80503-9433 | 2014-10-21 |
| 1306149034 | Amy Sharon Rose | Nurse Practitioner | 408 Coffman St, Longmont, CO 80501-5408 | 2010-12-20 |
| 1982863064 | Jennifer L Allison | Nurse Practitioner | 2144 N Main St, Longmont, CO 80501-8402 | 2008-06-04 |
| 1316115728 | Edna Darlene Hughes | Nurse Practitioner | 408 Coffman, Longmont, CO 80501-5408 | 2008-02-19 |
| 1164480281 | Sheila C Kupersmith | Nurse Practitioner | 2017 100 Yearparty Ct Unit 1, Longmont, CO 80504-8483 | 2006-05-01 |
| 1033767744 | Rebekah Harvey | Nurse Practitioner | 2101 Ken Pratt Blvd, Longmont, CO 80501-6567 | 2019-08-27 |
| 1306292511 | Robin Kotula | Nurse Practitioner | 2345 Bent Way, Longmont, CO 80503 | 2016-05-05 |
| 1851760557 | James W Sampson | Nurse Practitioner | 2101 Ken Pratt Blvd Ste 200, Longmont, CO 80501 | 2015-09-23 |
| Find all providers in LONGMONT | ||||
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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.