MRS. MAGAN GOFF HENDERSON (NPI# 1932461225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932461225 |
Entity Type | Individual |
Full Name | MRS. MAGAN GOFF HENDERSON |
Other Name | MISS MAGAN MICHELLE GOFF |
Credential | RN, APN |
Practice Address |
1421 W Baddour Pkwy Suite B Lebanon TN 37087-2652 |
Practice Telephone | 6154496780 |
Practice Fax Number | 6154491929 |
Mailing Telephone | 6154496780 |
Mailing Fax Number | 6154491929 |
Enumeration Date | 2012-06-12 |
Last Update Date | 2012-07-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
APN0000014885 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1421 W BADDOUR PKWY SUITE B |
City | LEBANON |
State | TN |
Zip Code | 37087-2652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356363444 | Alan W Roundtree | Specialist | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2006-07-24 |
1861059867 | Susanna Lee Maher | Nurse Practitioner | 1421 W Baddour Pkwy, Lebanon, TN 37087-2095 | 2019-05-24 |
1730425729 | Kristen Alford | Nurse Practitioner | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2652 | 2012-12-18 |
1245414648 | Christine M Potter | Nurse Practitioner | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2007-12-20 |
1760405500 | Charles B Lanning Jr. | Specialist | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
Find all providers in zip 37087 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942841606 | Lindsie Michelle Lincoln | Nurse Practitioner | 701 N 5th St Unit B1010, Lebanon, OR 97355-0087 | 2019-10-03 |
1730425729 | Kristen Alford | Nurse Practitioner | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2652 | 2012-12-18 |
1245414648 | Christine M Potter | Nurse Practitioner | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2007-12-20 |
1336161884 | Susan Lee Reilly | Nurse Practitioner | 1 Medical Center Dr, 5l, Lebanon, NH 03756-1000 | 2006-07-24 |
1578584967 | Suzanne Serat | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801310446 | Dana Laney | Nurse Practitioner | 740 Middle Creek Rd Ste 200, Sevierville, TN 37862-5056 | 2017-07-26 |
1871978213 | Sarah Elizabeth Hatcher | Nurse Practitioner | 2011 Murphy Ave Ste 200, Nashville, TN 37203 | 2015-07-28 |
1750766382 | Emily Shaye Fitzpatrick | Nurse Practitioner | 420 College St, Lafayette, TN 37083-1750 | 2015-07-24 |
1750719605 | Hannah V Burke | Nurse Practitioner | 1312 Bishop Street, Union City, TN 38261 | 2013-10-30 |
1306146360 | Anna R Huskey | Nurse Practitioner | 1102 Foxwood Drive, Suite #1, Sevierville, TN 37862 | 2010-10-25 |
1730310228 | Harmony Family Health Care, LLC | Nurse Practitioner | 3401 John Mallette Dr, Nashville, TN 37218-2672 | 2009-07-31 |
1699811497 | Kelly Pfrommer | Nurse Practitioner | 6215 Humphreys Blvd Ste 401, Memphis, TN 38120-2382 | 2007-01-29 |
1164465522 | Nicole L Sandifer | Nurse Practitioner | 619 W 7th North St, Ste. F, Morristown, TN 37814-3954 | 2006-06-14 |
1073594263 | Stacey Kesterson | Nurse Practitioner | 1621 W Morris Blvd Ste A, Morristown, TN 37813-2967 | 2005-11-07 |
1609879592 | Samantha S Moody | Nurse Practitioner | 2215 Jackson Downs Blvd, Nashville, TN 37214-2300 | 2005-05-24 |
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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.