JUDITH LYNN HENDERSON (NPI# 1265529127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265529127 |
| Entity Type | Individual |
| Full Name | JUDITH LYNN HENDERSON |
| Credential | PA-C |
| Practice Address |
300 Park Hill Dr Fredericksburg VA 22401-3387 |
| Mailing Address |
Po Box 1460 Fredericksburg VA 22402-1460 |
| Practice Telephone | 5403617641 |
| Practice Fax Number | 5403611246 |
| Mailing Telephone | 5407862100 |
| Mailing Fax Number | 5407860677 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110002430 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | TRICARE | 1265529127 | 01 |
| VA | 1265529127 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518071778 | Judith Ann Henderson | Psychologist | 3710 South Kiwanis Ave, Sioux Falls, SD 57105 | 2006-08-17 |
| 1275744492 | Judith Henderson | Social Worker | 4570 E Camp Lowell Dr, Tucson, AZ 85712-1282 | 2007-05-28 |
| 1831132778 | Judith Blair Henderson | Psychologist | 5101 Olson Memorial Hwy, Suite 4002, Golden Valley, MN 55422-5149 | 2006-06-14 |
| Street Address |
300 PARK HILL DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807538 | Cornell Shelton | Physical Medicine & Rehabilitation | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2005-11-03 |
| 1538781232 | Stephanie Diane Miller | Occupational Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2020-05-15 |
| 1992327704 | Andrea Michelle Wysocki | Occupational Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2020-05-14 |
| 1194219022 | Emma Tamana | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2018-06-14 |
| 1467949214 | K.w. Graham, Md LLC | Physical Medicine & Rehabilitation | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2018-04-17 |
| 1548617616 | Metropolitan Health Care Providers, Inc. | Family Medicine | 300 Park Hill Dr, Healthsouth Rehabilitation, Fredericksburg, VA 22401 | 2016-05-18 |
| 1891187217 | Monica Fitzgerald | Physical Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2015-02-22 |
| 1780097808 | Akua Asabea Asare | Pharmacist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2014-06-05 |
| 1104188317 | Jie Howe | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2012-06-13 |
| 1730460874 | Jing Britton | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346624152 | Melissa Marie Pruner | Physician Assistant | 120 S Tan Street, Suite 1, Fredericksburg, PA 17026-0009 | 2015-07-13 |
| 1548516149 | Michele Renae Rhoe | Physician Assistant | 1985 Jefferson Davis Highway, Fredericksburg, VA 22401 | 2012-08-01 |
| 1790910008 | Jovanna Rose Mickie | Physician Assistant | 1001 Sam Perry, Fredericksburg, VA 22408-1822 | 2009-05-16 |
| 1902416605 | Jenna Elizabeth Chapman | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2020-08-06 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| 1841799939 | Sean R Bodin | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2018-02-05 |
| 1669982898 | Benjamin C Garrison II | Physician Assistant | 125 Olde Greenwich Dr Ste 300, Fredericksburg, VA 22408-4008 | 2017-10-02 |
| 1558899906 | Sean Christopher Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2017-05-30 |
| 1427400241 | Patrick Edward Ober | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2016-07-05 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on JUDITH LYNN 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.