KIMBERLY ELAINE HENDERSON (NPI# 1114478773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114478773 |
| Entity Type | Individual |
| Full Name | KIMBERLY ELAINE HENDERSON |
| Practice Address |
1940 Sherman Ave Lot 103 Panama City FL 32405-6263 |
| Practice Telephone | 8502768169 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578967196 | Kimberly Henderson | Licensed Practical Nurse | 7958 State Route 21, Naples, NY 14512-9207 | 2014-10-09 |
| 1740513571 | Kimberly Henderson | Hearing Instrument Specialist | 4106 W 6th St, Suite E, Lawrence, KS 66049-4624 | 2009-09-11 |
| 1619085222 | Kimberly J Henderson | Counselor | 222 Kenyon St Nw, Suite 10, Olympia, WA 98502-4553 | 2006-08-25 |
| 1114991361 | Kimberly E Henderson | Nurse Practitioner | 401 16th St Se, Rochester, MN 55904-7973 | 2006-02-15 |
| 1457902934 | Kimberly Henderson | Case Manager/Care Coordinator | 12097 Old Hammond Hwy Ste I2, Baton Rouge, LA 70816-8679 | 2019-09-25 |
| 1972931368 | Kimberly Henderson | Pharmacist | 1431 W Innes St, Salisbury, NC 28144-2501 | 2013-10-22 |
| 1558608117 | Kimberly Y Henderson | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Ste 250, Wichita, KS 67206-2368 | 2013-01-15 |
| 1790070787 | Kimberly Jill Henderson | Obstetrics & Gynecology | 334 Plaza Rd, Kingston, NY 12401-2975 | 2011-06-17 |
| 1609016831 | Kimberly S Henderson | Counselor | 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 | 2009-02-27 |
| 1538340641 | Kimberly Henderson | Counselor | 2525 Court Dr, Gastonia, NC 28054-2140 | 2007-11-16 |
| Street Address |
1940 SHERMAN AVE LOT 103 |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-6263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235568197 | Regina Betties | Community Health Worker | 3134 E 6th Plz, Panama City, FL 32401-5230 | 2013-11-01 |
| 1205115334 | Christopher Jerome Jenkins | Community Health Worker | 424 Harrison Ave, Panama City, FL 32401-2732 | 2011-08-07 |
| 1386959450 | Lisa Ann Royston | Community Health Worker | 2308 W 21st St, Panama City, FL 32405-2424 | 2010-08-13 |
| 1508145640 | Body Alliance Massage Studio LLC | Community Health Worker | 424 Harrison Ave, Panama City, FL 32401-2732 | 2011-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606813 | Assyrian Lane Thomas | Community Health Worker | 3415 30th Ln E, Bradenton, FL 34208-7248 | 2020-10-13 |
| 1922614692 | Michole Kiana Nelson | Community Health Worker | 2041 Payne Ave, Jacksonville, FL 32209-5636 | 2020-09-18 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1619580669 | Lifeline Community Support, LLC | Community Health Worker | 927 Nw 97th Ave Apt 207, Miami, FL 33172-2380 | 2020-08-28 |
| 1669083192 | Basca Inc | Community Health Worker | 352 Stowe Ave, Orange Park, FL 32073-5547 | 2020-08-10 |
| 1982228250 | Gabrielle Benoit | Community Health Worker | 510 Beverly Blvd, Brandon, FL 33511-5510 | 2020-06-03 |
| 1316576192 | Angoria Consulting Management | Community Health Worker | 1382 Sequoia Rd Nw, Palm Bay, FL 32907-2780 | 2020-04-03 |
| 1174158349 | Arcliffe Elaine Stephenson | Community Health Worker | 5336 Jubilee Way, Margate, FL 33063-8205 | 2020-03-09 |
| 1639711096 | Margarette Jean Laurent | Community Health Worker | 261 Sw Fairchild Ave, Port St Lucie, FL 34984-4908 | 2019-10-16 |
| 1609337260 | Patricia Ann Brown | Community Health Worker | 797 Teague Trl Apt 8205, Lady Lake, FL 32159-3117 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
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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.