CRYSTAL LAREE HENDERSON (NPI# 1952757247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952757247 |
| Entity Type | Individual |
| Full Name | CRYSTAL LAREE HENDERSON |
| Credential | NP-C |
| Practice Address |
937 Highland Blvd Ste 5410 Bozeman MT 59715-6916 |
| Mailing Address |
937 Highland Blvd # 5410 Bozeman MT 59715-6902 |
| Practice Telephone | 4064142400 |
| Mailing Telephone | 4064142400 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
143815 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1952757247 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265663827 | Crystal Henderson | Social Worker | 15 Dove Ln, Middletown, CT 06457-6203 | 2009-07-30 |
| 1053453720 | Crystal Henderson | Physical Therapist | 930 Barachel Ln Ste 400, Greensburg, IN 47240-3253 | 2007-02-12 |
| 1184717688 | Crystal Henderson | Pharmacist | 1001 Lake Carolyn Pkwy Apt 516, Irving, TX 75039-4816 | 2006-10-02 |
| 1124519806 | Crystal Henderson | Counselor | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2018-05-29 |
| 1790120228 | Crystal Henderson | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-05-10 |
| 1619296852 | Crystal Sanders Henderson | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Ste 404, Metairie, LA 70002-3531 | 2010-05-27 |
| Street Address |
937 HIGHLAND BLVD STE 5410 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-6916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276888 | Anne Marie Thomas | Psychiatry & Neurology | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2006-06-25 |
| 1568082808 | Lauren M Hastings | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2020-04-16 |
| 1710541131 | Bozeman Health Deaconess Hospital | Internal Medicine | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2019-05-01 |
| 1184192312 | Kristen Lynn Hunter | Pharmacist | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2018-11-06 |
| 1982118808 | Sonja Ruth Clausen | Pharmacist | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2017-11-30 |
| 1346636099 | Tia Utzinger | Social Worker | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2015-04-09 |
| 1346667805 | Shalina F Lingley | Internal Medicine | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2014-03-23 |
| 1770618340 | Jennifer K Sofie | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
| 1528193265 | Theodore R Preiss | Physician Assistant | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1154867521 | Emma Hoegh | Nurse Practitioner | 211 Montana Hall, Bozeman, MT 59717-3260 | 2017-01-10 |
| 1265806475 | Sheri Larue Bagley | Nurse Practitioner | 4644 Danube Ln, Bozeman, MT 59718-8095 | 2015-11-25 |
| 1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
| 1801164330 | Christina M. Tooley | Nurse Practitioner | 300 N Willson Ave Ste 2001, Bozeman, MT 59715-3572 | 2011-12-12 |
| 1851569438 | Margaret B Marsh | Nurse Practitioner | 1805 Oak St Ste 3, Bozeman, MT 59715 | 2008-02-15 |
| 1114093077 | Kimberly Ellingson Kotur | Nurse Practitioner | South 7th Ave, Swingle Student Health Service, Bozeman, MT 59717-3260 | 2006-11-24 |
| Find all providers in BOZEMAN | ||||
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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.