VIVIAN E HENRY (NPI# 1265967616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265967616 |
| Entity Type | Individual |
| Full Name | VIVIAN E HENRY |
| Credential | CRNP |
| Practice Address |
850 Tuck St Lebanon PA 17042-7477 |
| Mailing Address |
147 Gettys St Gettysburg PA 17325-2534 |
| Practice Telephone | 7172728173 |
| Mailing Telephone | 7173392025 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP017648 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 University Dr, Hershey, PA 170332360 | 7175318955 | 7175314587 |
| Street Address |
850 TUCK ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437127 | Sergei L Joffy | Hospitalist | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-02-17 |
| 1114467347 | Melissa Baldwin | Nurse Practitioner | 850 Tuck St, Lebanon, PA 17042-7477 | 2017-03-07 |
| 1932513397 | Good Samaritan Physician Service | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2014-06-13 |
| 1720359680 | Qammar Abbas | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2012-01-24 |
| 1588843866 | Bedilu W Woldaregay | Internal Medicine | 850 Tuck St, Lebanon, PA 17042 | 2007-11-02 |
| 1891906103 | Maryam Gul | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2007-05-25 |
| 1912921115 | Wilson S Morris Jr. | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-27 |
| 1467474692 | Raymond R Beatty Jr. | Internal Medicine | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-24 |
| 1184645509 | Leona Ewing | Pediatrics | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-21 |
| 1689695033 | Mary Timm Hinkle | Nurse Practitioner | 850 Tuck St, Lebanon, PA 17042-7477 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1063010338 | Lauren Crook | Nurse Practitioner | 1381 Fox Fire Ct, Lebanon, OH 45036-4032 | 2020-10-09 |
| 1417505058 | Tanya Dawn Viars | Nurse Practitioner | 754 East Main St, Lebanon, VA 24266-2426 | 2019-08-27 |
| 1053823377 | Allison Ickes | Nurse Practitioner | 900 Tuck Street; Mchs Lebanon / Heartland Care Partners, Lebanon, PA 17042-7446 | 2017-10-26 |
| 1124412879 | Samantha Meyer | Nurse Practitioner | 842 Carson Dr, Lebanon, OH 45036-1316 | 2015-03-20 |
| 1366687261 | Pamela S Lippitt | Nurse Practitioner | 944 Riley Wills Rd, Lebanon, OH 45036-9037 | 2008-12-05 |
| 1295950061 | Judith Ann Barberio | Nurse Practitioner | 7 Haytown Rd, Lebanon, NJ 08833-4009 | 2007-04-16 |
| 1437249372 | Anna Marie Dryer | Nurse Practitioner | 510 E. Hwy 32, Lebanon, MO 65536-5303 | 2006-10-13 |
| 1588755268 | Katherine A Tuthill | Nurse Practitioner | 18 Old Etna Road, Sleep Medicine, Lebanon, NH 03766 | 2006-09-27 |
| 1538101068 | Joy Bender Mcmurry | Nurse Practitioner | 1423 W. Baddour Parkway, Lebanon, TN 37088-1165 | 2006-06-11 |
| 1881672137 | Melynda Kaye Wallace | Nurse Practitioner | 252 Mechanic St, Lebanon, NH 03766-2613 | 2006-01-06 |
| Find all providers in LEBANON | ||||
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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.