DR. COURTNEY LYNETTE HENDERSON (NPI# 1073678355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073678355 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY LYNETTE HENDERSON |
| Credential | M.D. |
| Practice Address |
943 Hualapai Way Peach Springs AZ 86434 |
| Mailing Address |
5327 High Wheels Ct Columbia MD 21044-5719 |
| Practice Telephone | 9287692900 |
| Mailing Telephone | 3015963707 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101239024 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1538573951 | Courtney Lauren Henderson | Occupational Therapist | 60 Livingston St Ste 400, Asheville, NC 28801-4400 | 2014-06-13 |
| 1609415769 | Courtney Ann Henderson | Behavior Technician | 264 Landis Ave Ste 200, Chula Vista, CA 91910-2651 | 2020-01-06 |
| 1497107486 | Courtney D Henderson | Counselor | 2414 Ferrand St, Ste. 1, Monroe, LA 71201 | 2016-07-01 |
| 1114314424 | Courtney Henderson | Nurse Anesthetist, Certified Registered | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2015-04-24 |
| 1497158596 | Courtney N Henderson | Physician Assistant | 6144 Airport Blvd, Mobile, AL 36608-3143 | 2014-10-02 |
| 1992724967 | Courtney Moore Henderson | Nurse Practitioner | 201 N Hamilton St, Richmond, VA 23221-2601 | 2006-07-19 |
| Street Address |
943 HUALAPAI WAY |
| City | PEACH SPRINGS |
| State | AZ |
| Zip Code | 86434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720014608 | Gloria C Edreira-green | Emergency Medicine | 943 Hualapai Way, Peach Springs, AZ 86434 | 2006-06-23 |
| 1104389451 | Kelly Jo Lewis | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2019-04-12 |
| 1669833794 | Rebecca Anne Fox | Registered Nurse | 943 Hualapai Way, Peach Springs Health Center, Peach Springs, AZ 86434 | 2016-03-17 |
| 1720454226 | Rebecca Ann Rice | Health Educator | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-08-19 |
| 1427446137 | Katrina Green | Pharmacist | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2015-01-05 |
| 1700121480 | Claudia J Shultz | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-12-06 |
| 1083967715 | Leslie Mcguire | Registered Nurse | 943 Hualapai Way, Peach Springs, AZ 86434 | 2012-10-18 |
| 1649531377 | Peach Springs Health Center | Clinical Medical Laboratory | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-29 |
| 1023378825 | Peach Springs Indian Health Center | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2012-05-25 |
| 1265719934 | Dhhs Ihs Phoenix Area | Clinic/Center | 943 Hualapai Way, Peach Springs, AZ 86434-0190 | 2011-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871983742 | Jenifer Bowles | Registered Nurse | 938 Hualapai Way, Peach Springs, AZ 86434 | 2015-01-30 |
| 1427398353 | All One People Chiropractic, Inc. | Chiropractor | 900 Route 66, Suite 201 Hualapai Lodge, Peach Springs, AZ 86434 | 2013-03-01 |
| 1982957619 | Sean P Kennedy | Technician | 943 Indian Way, Peach Springs, AZ 86434 | 2012-10-18 |
| 1124211016 | Peach Springs Unified School District #8 | Case Management | 16500 E. Highway 66, Peach Springs Jr./sr. High, Peach Springs, AZ 86434 | 2007-08-23 |
| 1366640724 | Robyn Lee Ann Purdum | Chiropractor | 900 W. Route 66, Suite 201, Peach Springs, AZ 86434 | 2007-07-06 |
| 1740497874 | Hualapai Tribe | Ambulance | 921 Hualapai Way, Peach Springs, AZ 86434 | 2007-05-17 |
| 1407061971 | Katie John | Technician, Other | 943 Haulapai Way, Peach Springs, AZ 86434 | 2007-05-10 |
| 1356554315 | Lisa Christine Gaudet | Psychologist | 960 Rodeo Way, Peach Springs, AZ 86434 | 2007-05-07 |
| 1558489120 | Ernestine Alva Crozier | Technician, Pathology | 940 Hualapai Way, Peach Springs, AZ 86434 | 2007-03-26 |
| 1295976660 | Roger Orazio Cangialosi | Counselor | 960 Rodeo Way, Hualapai Health Department, Peach Springs, AZ 86434 | 2009-03-16 |
| Find all providers in zip 86434 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1417570664 | Compass Medical Center Heber, Pllc | General Practice | 2931 Highway 260, Overgaard, AZ 85933 | 2020-05-22 |
| 1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | PEACH SPRINGS |
| Zip Code | 86434 |
Please comment or provide details below to improve the information on DR. COURTNEY LYNETTE HENDERSON.
| 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.