KIMBERLY E HENDERSON (NPI# 1114991361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114991361 |
| Entity Type | Individual |
| Full Name | KIMBERLY E HENDERSON |
| Credential | APRN, CNP |
| Practice Address |
401 16th St Se Rochester MN 55904-7973 |
| Mailing Address |
1900 Silver Lake Rd Nw Ste 110 New Brighton MN 55112-1789 |
| Practice Telephone | 5075160030 |
| Practice Fax Number | 5075160031 |
| Mailing Telephone | 6516289566 |
| Mailing Fax Number | 6516280411 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R158921-6 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 313637000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114478773 | Kimberly Elaine Henderson | Community Health Worker | 1940 Sherman Ave Lot 103, Panama City, FL 32405-6263 | 2016-10-19 |
| 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 |
| 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 |
401 16TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771975 | Britne Weiher | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2017-10-12 |
| 1003211400 | Lacy Osborne | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2014-10-28 |
| 1609208826 | Chad Evans Larson | Dentist | 401 16th St Se, Rochester, MN 55904-7973 | 2013-07-30 |
| 1578759270 | Kevin Lee Petersen | Counselor | 401 16th St Se, Rochester, MN 55904-7973 | 2007-09-18 |
| 1790983161 | Richard L Sprague | Social Worker | 401 16th St Se, Rochester, MN 55904-7973 | 2007-07-06 |
| 1275667123 | Arnold J Hill | Dentist | 401 16th St Se, Rochester, MN 55904-7973 | 2007-03-15 |
| 1891829669 | Ta Guenthner, Dds Msd and Be Larson, Dds, Ms, Pa | Clinic/Center | 401 16th St Se, Rochester, MN 55904-7973 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406889 | Lauren Reposa | Nurse Practitioner | 420 Snipatuit Rd, Rochester, MA 02770-1843 | 2020-08-05 |
| 1558923599 | Megan Michelle Maurer | Nurse Practitioner | 343 Oakridge Dr, Rochester, NY 14617-2541 | 2019-06-30 |
| 1831674183 | Julie Marie Hammer | Nurse Practitioner | 1415 Portland Ave Ste 220, Rochester, NY 14621-3039 | 2018-10-02 |
| 1417439761 | Andrew Molnar | Nurse Practitioner | 4451 Carriage Hill Ct, Rochester, MI 48306-4672 | 2018-09-04 |
| 1124528740 | Kelly F Dibble | Nurse Practitioner | 222 Alexander St Ste 5000, Rochester, NY 14607-4064 | 2018-02-20 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1487163945 | Sylvana Adly Brickley | Nurse Practitioner | 40 Celebration Drive Dermatology, Rochester, NY 14642-0001 | 2017-09-27 |
| 1639603111 | Sos Recovery Services, Inc. | Nurse Practitioner | 234 Adams St, Rochester, PA 15074-2102 | 2017-04-12 |
| 1134534944 | Stephanie Solpietro | Nurse Practitioner | 601 Elmwood Ave Box 619-334, Rochester, NY 14642-0001 | 2014-07-01 |
| 1417200593 | Joann Bettin Trzcinski | Nurse Practitioner | 95 Canal Landing Blvd Ste A, Rochester, NY 14626-5111 | 2012-10-26 |
| Find all providers in ROCHESTER | ||||
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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.