MRS. CONNIE L HENRY (NPI# 1922068261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922068261 |
| Entity Type | Individual |
| Full Name | MRS. CONNIE L HENRY |
| Credential | RN, BSN, WHCNP |
| Practice Address |
254 E St Idaho Falls ID 83402-3527 |
| Mailing Address |
1190 Stanger Ave Idaho Falls ID 83404-5551 |
| Practice Telephone | 2085220310 |
| Mailing Telephone | 2085220310 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP-519A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DEA REGISTRATION NUMBER | MH1247267 | 01 |
| ID | NURSE PRACTITIONER | NP-519A | 01 |
| ID | CONTROLLED SUBSTANCE REGI | CS10977 | 01 |
| ID | RN LICENSE | N18402 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155523 | Connie Henry | Homemaker | 1386 Abbott Ln, Sebastian, FL 32958-2206 | 2020-08-19 |
| Street Address |
254 E ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83402-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269537 | Janet Louise Corson Stanton | Nurse Practitioner | 254 E St, Idaho Falls, ID 83402-3527 | 2006-03-15 |
| 1235523457 | Robert Siddoway | Social Worker | 254 E St, Suite B, Idaho Falls, ID 83402-3527 | 2015-03-25 |
| 1457791550 | David Strong | Counselor | 254 E St, Ste B, Idaho Falls, ID 83402-3527 | 2013-07-03 |
| 1386084648 | Shireen A Wheeler | Social Worker | 254 E St, Ste B, Idaho Falls, ID 83402-3527 | 2013-07-01 |
| 1205036001 | District Seven Health Department | Public Health or Welfare | 254 E St, Idaho Falls, ID 83402-3527 | 2007-07-19 |
| 1669595864 | Id Dept of Health & Welfare Cshp (hd6) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-10 |
| 1346362084 | Id Dept of Health & Welfare Cshp (hd7) | Pediatrics | 254 E St, Idaho Falls, ID 83402-3527 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
| 1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
| 1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
| 1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
| 1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
| 1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
| 1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
| Find all providers in zip 83402 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436195 | Rocky Mountain Womens Clinic LLC | Nurse Practitioner | 2065 E 17th St Ste A, Idaho Falls, ID 83404-8042 | 2020-08-04 |
| 1427514991 | Brittany Elizabeth Quinn | Nurse Practitioner | 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2019-02-20 |
| 1467953125 | Heidi Gregersen | Nurse Practitioner | 2990 Cortez Ave, Idaho Falls, ID 83404-7554 | 2018-02-27 |
| 1003925819 | Molly Susan Phillipp | Nurse Practitioner | 2065 E 17th St, Suite D, Idaho Falls, ID 83404-8042 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678106 | Clea K. Mefford | Nurse Practitioner | 1408 Pomerelle Ave # H, Burley, ID 83318-2064 | 2009-11-13 |
| 1477714285 | Kara Kelly Hill | Nurse Practitioner | 111 Main St Ste 100, Boise, ID 83702-7307 | 2008-06-24 |
| 1265617849 | Selkirk Family Medicine & Womens Health Pllc | Nurse Practitioner | 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 | 2008-01-02 |
| 1538238506 | Pamela Jan Tilaro | Nurse Practitioner | 8500 N. Atlas Rd, Hayden, ID 83835-8332 | 2006-11-06 |
| 1922197946 | Cynthia W Dalsing | Nurse Practitioner | 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 | 2006-10-11 |
| 1144325572 | Annie C Fife | Nurse Practitioner | 500 W. Fort St, Boise, ID 83702 | 2006-09-13 |
| 1679688030 | Healing Arts Women's Clinic, Pa | Nurse Practitioner | 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 | 2006-08-19 |
| 1508886425 | Mary Gerard Battaglia | Nurse Practitioner | 1112 Ironwood Dr, Coeur D Alene, ID 83814 | 2006-07-21 |
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1871560995 | Mary R Fiedler | Nurse Practitioner | 1020 Michigan St, Sandpoint, ID 83864-1788 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83402 |
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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.