LAKISHA HENDERSON (NPI# 1043651367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043651367 |
| Entity Type | Individual |
| Full Name | LAKISHA HENDERSON |
| Credential | LICENSED NURSE |
| Practice Address |
2619 S. Lancaster Rd Dallas TX 75216 |
| Mailing Address |
3543 Rio Grande Cir Dallas TX 75233-2553 |
| Practice Telephone | 2143767388 |
| Practice Fax Number | 2143767899 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
300712 | TX | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LVN | 300712 | 01 |
| Street Address |
2619 S. LANCASTER RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384115 | Dg Edwards Pllc | Clinic/Center | 4498 Marsalis Avenue, Dallas, TX 75216 | 2020-07-30 |
| 1407407984 | Margaret Ruth Mitchell | Technician | 4950 Wadsworth Apt 1019, Dallas, TX 75216 | 2019-09-25 |
| 1033605373 | James Sherman Mckoy | Radiology | 45oo S Lancaster Rd, Dallas, TX 75216 | 2018-07-10 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1124546353 | Tiffany Price | Social Worker | 45oo S. Lancaster Rd., Dallas, TX 75216 | 2017-09-08 |
| 1215397476 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 150 East Illinois Ave, Dallas, TX 75216 | 2016-03-02 |
| 1629466834 | Elena Mayra Rodriguez | Physician Assistant | 3200 S Lancaster Rd Ste 180, Dallas, TX 75216 | 2014-12-23 |
| 1669812871 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5050 S Lancaster Rd, Dallas, TX 75216 | 2013-07-02 |
| 1922341361 | Angela S Ayers | Home Health Aide | 302 Zang Ave, Dallas, TX 75216 | 2013-04-04 |
| 1255674750 | Peter Kooghee Hong | Internal Medicine | 4500 S Lancaster Rd., Community Living Center, Dallas, TX 75216 | 2013-04-03 |
| Find all providers in zip 75216 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447436050 | Rebekah K Cook | Registered Nurse | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2008-01-14 |
| 1831294065 | Patience Adanne Nwokocha | Registered Nurse | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669532 | Michelle White | Registered Nurse | 357 Dove Creek Rd, Argyle, TX 76226-6360 | 2020-04-28 |
| 1144731357 | Justin Wilder | Registered Nurse | 201 Lavaca St, Austin, TX 78701-3960 | 2017-10-14 |
| 1528373362 | Shelly Guillory | Registered Nurse | 1905 Elder Hill Rd, Driftwood, TX 78619-2102 | 2010-08-17 |
| 1043441074 | Marylyn Renee Harris | Registered Nurse | 6706 Old Oaks Blvd, Pearland, TX 77584-7140 | 2009-08-08 |
| 1366093544 | Stages of Recovery, Inc | Registered Nurse | 4413 71st St Ste G101, Lubbock, TX 79424-2319 | 2019-09-27 |
| 1619526902 | Us Multispecialty Group | Registered Nurse | 14008 Shadowglen Blvd, Manor, TX 78653-3396 | 2019-09-09 |
| 1902453327 | Emily Lauren Godsey | Registered Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-08-20 |
| 1497310858 | Tanis May Rutherford | Registered Nurse | 13207 Wright Rd, Buda, TX 78610-5000 | 2019-05-01 |
| 1437437464 | Courtney Carole Fuller | Registered Nurse | 8104 County Road 6500, Lubbock, TX 79416-9557 | 2011-07-25 |
| 1154563419 | Jo Ann Goodie | Registered Nurse | 4112 Austin St, Houston, TX 77004-4813 | 2009-04-01 |
| Find all providers with the same taxonomy | ||||
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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.