MS. VESTA LEE HENDERSON (NPI# 1245694140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245694140 |
| Entity Type | Individual |
| Full Name | MS. VESTA LEE HENDERSON |
| Credential | RN |
| Practice Address |
2900 Veterans Way Viera FL 32940-8007 |
| Mailing Address |
346 Beach Park Ln Cape Canaveral FL 32920-5031 |
| Practice Telephone | 3216373788 |
| Mailing Telephone | 2072539385 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN2991522 | FL | Nursing Service Providers |
| Street Address |
2900 VETERANS WAY |
| City | VIERA |
| State | FL |
| Zip Code | 32940-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821808 | Ronald David Nelson | Pharmacist | 2900 Veterans Way, Viera, FL 32940-8007 | 2005-09-20 |
| 1912514597 | Lindsay Shears | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-09-28 |
| 1770197865 | Jessica Mae Sullivan | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-09-04 |
| 1528680634 | William Lucas | Technician/Technologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-05-12 |
| 1700360062 | Michelle Mcever | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2018-09-21 |
| 1235677360 | Angela Washington | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2017-02-09 |
| 1992189187 | Andrea Anliker | Dental Hygienist | 2900 Veterans Way, Viera, FL 32940-8007 | 2015-07-17 |
| 1043644966 | George Elkomos | Family Medicine | 2900 Veterans Way, Viera, FL 32940-8007 | 2013-08-27 |
| 1033455076 | Douglas Robert Bratholt | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2012-12-19 |
| 1225386592 | Ashley Elizabeth Little | Pharmacist | 2900 Veterans Way, Viera, FL 32940-8007 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351276 | Magaly Camejo | Registered Nurse | 1037 W 23rd St, Hialeah, FL 33010-1922 | 2020-09-16 |
| 1497368112 | Daphne Nelson | Registered Nurse | 8617 Wilburn Cv, Navarre, FL 32566-6670 | 2020-08-24 |
| 1578198842 | Cylena P Campbell | Registered Nurse | 10829 Nw 55th St, Coral Springs, FL 33076-2767 | 2020-03-07 |
| 1174153498 | Krystal Rivera | Registered Nurse | 9703 Hammocks Blvd Apt 208, Miami, FL 33196-1557 | 2020-01-26 |
| 1306486212 | Dayron Barzaga Dieguez | Registered Nurse | 25931 Sw 132nd Ave, Homestead, FL 33032-6963 | 2020-01-08 |
| 1851763288 | Yenixis Martinez-castillo | Registered Nurse | 6378 Nw 170th Ln, Hialeah, FL 33015-4629 | 2015-10-26 |
| 1659766830 | Caroline Heyward Simons | Registered Nurse | 8450 Gate Pkwy W Unit 1007, Jacksonville, FL 32216-1077 | 2015-04-03 |
| 1710329495 | Johnnetta Nicole Wider | Registered Nurse | 5523 Kilcullen Ln, Jacksonville, FL 32244-6258 | 2013-07-23 |
| 1386922086 | Robert Kenneth Olan | Registered Nurse | 5852 Roble Loma Dr, Pensacola, FL 32526-2217 | 2011-07-28 |
| 1356517114 | Linda Elizabeth Moody | Registered Nurse | 715 Seddon Cove Way, Tampa, FL 33602-5702 | 2008-05-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. VESTA LEE 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.