AMY R HENDERSON (NPI# 1861979700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861979700 |
| Entity Type | Individual |
| Full Name | AMY R HENDERSON |
| Credential | PA-C |
| Practice Address |
9951 Rock Cut Xing Loves Park IL 61111-1999 |
| Practice Telephone | 8156398500 |
| Practice Fax Number | 8156398501 |
| Mailing Telephone | 8156398500 |
| Mailing Fax Number | 8156398501 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006656 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860556 | Amy Henderson | Physical Therapist | 3919 Carter Rd Ste A, Buford, GA 30518-1628 | 2020-08-04 |
| 1992253066 | Amy Henderson | Registered Nurse | 14131 Midway Rd Ste 260, Addison, TX 75001-3623 | 2016-09-16 |
| 1063854495 | Amy A Henderson | Speech-Language Pathologist | 3 Faggs Manor Ln, Paoli, PA 19301-1905 | 2013-07-26 |
| 1447313598 | Amy Michelle Henderson | Speech-Language Pathologist | 21862 State Highway 59 S, Robertsdale, AL 36567 | 2006-12-19 |
| 1437159886 | Amy Hallal Henderson | General Practice | 2 Silvercrest Dr, Suite 100, New Albany, IN 47150-7800 | 2005-07-28 |
| 1225654429 | Amy M Henderson | Counselor | 3020 Broadmoor Ln, Flower Mound, TX 75022-2703 | 2020-06-23 |
| 1356902183 | Amy Elizabeth Henderson | Speech-Language Pathologist | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2019-06-24 |
| 1801368949 | Amy Joy Henderson | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-12-31 |
| 1790239408 | Amy Henderson | Social Worker | 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 | 2016-08-10 |
| 1821499153 | Amy Henderson | Dietitian, Registered | 10306 N 138th East Ave, Suite 204, Owasso, OK 74055-4665 | 2014-09-05 |
| Street Address |
9951 ROCK CUT XING |
| City | LOVES PARK |
| State | IL |
| Zip Code | 61111-1999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568452555 | Cynthia A Mcgrath | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2005-10-21 |
| 1144704172 | Jessica Knoll | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2018-09-15 |
| 1508368309 | Stephanie D Yeager | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2018-03-07 |
| 1093233173 | Brandon N. Nierhoff | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2017-09-08 |
| 1518407204 | Thomas Magerl | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2017-03-01 |
| 1396283685 | Tracy Ohmstede | Physical Therapist | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2017-02-07 |
| 1477006294 | Janelle Kloch | Nurse Practitioner | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2016-07-28 |
| 1184096760 | Kirsten Ahlberg | Social Worker | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2015-10-22 |
| 1427426931 | Noah James Simon | Family Medicine | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2015-09-14 |
| 1306123757 | Katherine I Carlson | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2011-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562788 | Salli Jacobsen | Technician | 6699 Torch Lite Tr, Loves Park, IL 61111 | 2020-06-11 |
| 1003476425 | Costco Wholesale Corporation | Pharmacy | 5000 Stadium Drive, Loves Park, IL 61111 | 2019-06-18 |
| 1427541077 | Ronit Golan | Physical Therapist | 4401 Peak Dr Ste 1, Loves Park, IL 61111 | 2018-06-08 |
| 1598049025 | Sara Debelak | Developmental Therapist | 7225 Golden Eagle Drive, Loves Park, IL 61111 | 2011-10-03 |
| 1083906382 | Gagandeep Goyal | Anesthesiology | 5504 N 2nd St, Loves Park, IL 61111 | 2011-05-05 |
| 1124354261 | Asap Transport, LLC | Taxi | 7117 Clinton Rd, Suite 4, Loves Park, IL 61111 | 2009-10-25 |
| 1235212275 | Roger H Hill | Optometrist | 4301 N Mulford Rd, Loves Park, IL 61111 | 2006-10-23 |
| 1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
| 1629099627 | Lisa A. Breisch | Counselor | Harmony Center for Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, IL 61111 | 2006-07-22 |
| 1386670529 | Joseph L Digirolamo | Chiropractor | 116 East Riverside Blvd, Loves Park, IL 61111 | 2006-06-22 |
| Find all providers in zip 61111 | ||||
| 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 |
|---|---|---|---|---|
| 1306123757 | Katherine I Carlson | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2011-11-14 |
| 1285718874 | Suzanne M Shimaitis | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2006-10-24 |
| 1477579563 | David Christopher Finnegan | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | LOVES PARK |
| Zip Code | 61111 |
Please comment or provide details below to improve the information on AMY R 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.