MARY A HENCK (NPI# 1952313595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952313595 |
| Entity Type | Individual |
| Full Name | MARY A HENCK |
| Credential | RD, MS, CDE |
| Practice Address |
1250 E Marshall St Pediatrics Richmond VA 23298-5051 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8046287337 |
| Practice Fax Number | 8046280267 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
Dietary & Nutritional Service Providers |
| Street Address |
1250 E MARSHALL ST PEDIATRICS |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436158 | Elizabeth A Huntoon | Physical Medicine & Rehabilitation | 1250 E Marshall St, Physical Medicine and Rehab, Richmond, VA 23298-5051 | 2005-06-08 |
| 1700485943 | Jayme Holmes Kunkel | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-10-20 |
| 1508463068 | Benjamin Brickman Holt | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-10-07 |
| 1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
| 1770197956 | Imane Chedid | Emergency Medicine | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-03 |
| 1659982338 | Randi Thompson | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-08-14 |
| 1619585684 | Chelsea Elise Snead | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-07-16 |
| 1285258095 | Trevor Harrison Nordin | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-06-08 |
| 1912521972 | Ashton Jordan Engdahl | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-06-04 |
| 1538783048 | Ann Forrest | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Richmond, VA 23298-5051 | 2020-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
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| Taxonomy Code | 133VN1004X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Pediatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305884 | Alyssa Regula | Dietitian, Registered | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-08-04 |
| 1275099350 | Katelynn Marie Perzynski | Dietitian, Registered | 1308 Sherwood Ave, Richmond, VA 23220-1210 | 2019-02-14 |
| 1114286366 | Sangita Suresh Kling | Dietitian, Registered | 2924 Brook Rd, Children's Hospital of Richmond, Richmond, VA 23220-1215 | 2012-05-09 |
| 1912202722 | Kelly Sue Leonard | Dietitian, Registered | 2924 Brook Rd, Children's Hospital, Richmond, VA 23220-1215 | 2011-01-26 |
| 1629294889 | Karen Joanne Schmidt | Dietitian, Registered | 1250 E. Marshall Street, Clinical Nutrition, Richmond, VA 23298-0294 | 2007-04-17 |
| 1770708414 | Anne West Keeler | Dietitian, Registered | 1250 E Marshall Street, Clinical Nutrition, Richmond, VA 23298-0294 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235675653 | Morgan Mcghee | Dietitian, Registered | 4474 Raleigh Ave, Apt 204, Alexandria, VA 22304-6723 | 2017-01-09 |
| 1932568102 | Patti Perks | Dietitian, Registered | 1604 Calvary Cir, Apt 404, Charlottesville, VA 22911-8461 | 2016-02-17 |
| 1588788384 | Ashleigh Sellman | Dietitian, Registered | Northridge Nutrition Counseling Ctr, Suite 107, Charlottesville, VA 22908-1310 | 2007-03-19 |
| 1982210357 | Olivia Oriana Obertello | Dietitian, Registered | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-21 |
| 1952945479 | Rachael Louise Trotman | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-10-29 |
| 1104395953 | Thrive Nutrition, LLC | Dietitian, Registered | 3804 Cannon Point Dr, Chesapeake, VA 23321-5703 | 2018-11-21 |
| 1699263640 | Sandra Panizo | Dietitian, Registered | 8365a Greensboro Dr, Mc Lean, VA 22102-3530 | 2018-04-25 |
| 1760915953 | Mary Jo Haney | Dietitian, Registered | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2017-04-05 |
| 1578922548 | Tegan Jean Medico | Dietitian, Registered | 1215 Lee St, Charlottesville, VA 22908-0673 | 2016-02-18 |
| 1942668348 | Barbara Goodin | Dietitian, Registered | 1215 Lee St, Division of Genetics, Charlottesville, VA 22908-0386 | 2016-02-01 |
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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.