DR. JIM P. HENDERSON (NPI# 1942428230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942428230 |
| Entity Type | Individual |
| Full Name | DR. JIM P. HENDERSON |
| Credential | MD |
| Practice Address |
820 Gale Ln Siloam Family Health Center Nashville TN 37204-3012 |
| Practice Telephone | 6152985406 |
| Practice Fax Number | 6155774010 |
| Mailing Telephone | 6152985406 |
| Mailing Fax Number | 6155774010 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 17082 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
820 GALE LN SILOAM FAMILY HEALTH CENTER |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37204-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821165564 | Morgan Jackson Wills | Internal Medicine | 820 Gale Ln, Nashville, TN 37204-3012 | 2006-11-29 |
| 1427598762 | Elisa Greene | Pharmacist | 820 Gale Ln, Nashville, TN 37204-3012 | 2017-03-06 |
| 1922545748 | Rebecca Swift | Social Worker | 820 Gale Ln, Nashville, TN 37204-3012 | 2017-01-31 |
| 1598192627 | Emilie Kate Biniker | Nurse Practitioner | 820 Gale Ln, Siloam Family Health Center, Nashville, TN 37204-3012 | 2013-10-03 |
| 1083957880 | Kimberly Michelle Thornton | Physician Assistant | 820 Gale Ln, Nashville, TN 37204-3012 | 2013-03-29 |
| 1811241458 | R Lauren Smith | Clinic/Center | 820 Gale Ln, Nashville, TN 37204-3012 | 2012-11-05 |
| 1871847590 | Michael Keith Daniel | Physician Assistant | 820 Gale Ln, Nashville, TN 37204-3012 | 2012-11-02 |
| 1851593107 | Thresa D. Lawson | Nurse Practitioner | 820 Gale Ln, Siloam Family Health Center, Nashville, TN 37204-3012 | 2007-05-31 |
| 1689887606 | Jina J Hawk | Nurse Practitioner | 820 Gale Ln, Siloam Family Health Center, Nashville, TN 37204-3012 | 2007-05-07 |
| 1578617411 | Siloam Family Health Center | Clinic/Center | 820 Gale Ln, Nashville, TN 37204-3012 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304893 | Results-ast Jv, LLC | Physical Therapist | 2659 8th Avenue South, Nashville, TN 37204 | 2020-10-21 |
| 1811516933 | Kinsley Ojukwu | Student in an Organized Health Care Education/Training Program | Oho Primary Care North, 719 Thompson Ln Suite 20400, Nashville, TN 37204 | 2020-04-09 |
| 1649777350 | Ian Bentley | Student in an Organized Health Care Education/Training Program | 719 Thompson Lane, Pod B, Nashville, TN 37204 | 2018-04-09 |
| 1134622160 | Joshua Shane Carty | Student in an Organized Health Care Education/Training Program | 719 Thompson Ln Pod A, Nashville, TN 37204 | 2018-03-15 |
| 1205340197 | Cam LLC | Chiropractor | 2694 Fessey Ct., Nashville, TN 37204 | 2017-11-30 |
| 1679097141 | Lacey Cross | Nurse Practitioner | 2694 Fessey Court, Nashville, TN 37204 | 2017-07-27 |
| 1346763042 | Lucy Elaine Davidson | Counselor | 416 East Iris Dr., Nashville, TN 37204 | 2017-07-25 |
| 1316468358 | Jasmine Kennedy Jester | Counselor | 717 Hart Lane, Nashville, TN 37204 | 2017-06-29 |
| 1447789649 | Jessica Ramey | Counselor | 4623 Trousdale Drive, Nashville, TN 37204 | 2017-06-09 |
| 1023555893 | Anna Claire Lowder | Marriage & Family Therapist | 701 Bradford Avenue, Nashville, TN 37204 | 2017-01-31 |
| Find all providers in zip 37204 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040131 | Mebe Tennessee | Pediatrics | 6339 Charlotte Pike # 1035, Nashville, TN 37209-2926 | 2020-10-14 |
| 1568817658 | Elizabeth Shawn Keiner | Pediatrics | 2200 Childrens Way # B319, Nashville, TN 37232-9760 | 2016-04-26 |
| 1669834784 | Sara Beth Bluestein | Pediatrics | Vasap, 2611 West End Ave, Nashville, TN 37203 | 2016-03-28 |
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1144649542 | Allysa Kehring | Pediatrics | 2200 Children's Way Rm, Doctor's Office Tower 11108b, Nashville, TN 37232-9000 | 2014-04-14 |
| 1073944351 | Deidre Earlene Lanier | Pediatrics | 404 Dr. D.b. Todd Blvd Jr., Nashville, TN 37203 | 2013-12-11 |
| 1013278043 | Paige Dudley | Pediatrics | 11101 Doctor's Office Tower 2200 Children's Way, Nashville, TN 37232-9544 | 2012-06-06 |
| 1184915662 | Vita June Cooper Lamberson | Pediatrics | Pediatric Residency Program 2200 Childrens Way, 8161 Dot, Nashville, TN 37232-0001 | 2011-05-02 |
| 1548551104 | Michael Dole | Pediatrics | 2200 Childrens Way Fl Way10, Nashville, TN 37232 | 2011-04-29 |
| 1902195845 | Frank Joseph Raucci | Pediatrics | 2200 Childrens Way Ste 5230, Nashville, TN 37232-0005 | 2011-03-31 |
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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.