TANISHA HENRY (NPI# 1346873817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346873817 |
| Entity Type | Individual |
| Full Name | TANISHA HENRY |
| Credential | RN |
| Practice Address |
1833 Sw Capehart Ave Port Saint Lucie FL 34953-4606 |
| Mailing Address |
10380 Sw Village Center Dr # 188 Port Saint Lucie FL 34987-1931 |
| Practice Telephone | 7722409417 |
| Practice Fax Number | 7726738228 |
| Mailing Telephone | 7722409417 |
| Mailing Fax Number | 7726738228 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
9481114 | FL | Nursing Service Providers |
| N | 251E00000X | Home Health | 9481114 | FL | Agencies |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
9481114 | FL | Nursing Service Related Providers |
| N | 385H00000X | Respite Care | 9481114 | FL | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629610167 | Tanisha P. Henry | Registered Nurse | 1312 Grand Ave, North Baldwin, NY 11510-1418 | 2019-10-16 |
| 1003879735 | Tanisha M Henry | Physician Assistant | 4500 San Pablo Rd S, Vincent Stabile Bldg 550n, Jacksonville, FL 32224-1865 | 2006-04-12 |
| Street Address |
1833 SW CAPEHART AVE |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34953-4606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733720 | Paul Desantis | Optometrist | 1805 Gatlin Blvd, Port St. Lucie, FL 34953 | 2020-05-29 |
| 1174165997 | D&r Homehealthcare LLC | Technician | 1210 Southwest Santiago Avenue, Port Saint Lucie, Fl, FL 34953 | 2019-10-14 |
| 1023677630 | Physical Therapy Wellness Group | Clinic/Center | 519 Sw Nagle Place, Port Saint Lucie, FL 34953 | 2019-06-07 |
| 1063993699 | Bloom Firm, LLC | Home Health | 1714 Sw Cycle St, Port Saint Lucie, FL 34953 | 2018-08-22 |
| 1386121333 | For His Glory Alf LLC. | Assisted Living Facility | 322 Sw South Quick Circle, Port St Lucie, FL 34953 | 2018-07-23 |
| 1730670555 | Susan May Thyme | Nurse Practitioner | 1762 Sw Choate St, Port Saint Lucie, FL 34953 | 2018-05-29 |
| 1164911301 | Viven Banks | Counselor | 3581 Sw Kromrey St, Port Saint Lucie, FL 34953 | 2018-05-03 |
| 1205323441 | Katherine Monroig | Behavior Technician | 4557 Se Babylon St, Port Saint Lucie, FL 34953 | 2018-04-13 |
| 1528567583 | Roger Rene Trudel | Nurse Practitioner | 3686 Sw Carmody Street, Port St Lucie, FL 34953 | 2018-02-06 |
| 1801315502 | Metushela Nicolas | Adult Companion | 1112 Jennifer Ter, Port Saint Lucie, FL 34953 | 2017-09-13 |
| Find all providers in zip 34953 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512973 | Lany Tabita Romulus | Registered Nurse | 5991 Nw Baynard Dr, Port Saint Lucie, FL 34986-3604 | 2020-06-14 |
| 1861959595 | Pierre Beauge | Registered Nurse | 446 Sw Paar Dr, Port Saint Lucie, FL 34953-4020 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697350 | Karen Y Barahona | Registered Nurse | 3059 Barry Rd, North Port, FL 34286-9006 | 2020-10-26 |
| 1942809066 | Welcome Group Home LLC | Registered Nurse | 8616 White Cay, West Palm Beach, FL 33411-5545 | 2020-10-20 |
| 1508465725 | Mahanaim Home Care | Registered Nurse | 2750 N 29th Ave Ste 218b, Hollywood, FL 33020-1521 | 2020-10-19 |
| 1033717236 | Tansha Fuller | Registered Nurse | 8606 N 10th St, Tampa, FL 33604-1712 | 2020-10-12 |
| 1902419187 | Superior Choice Physicians Inc | Registered Nurse | 600 Bypass Dr Ste 115, Clearwater, FL 33764-5030 | 2020-08-26 |
| 1457960809 | Trumed Home Health Services LLC | Registered Nurse | 1064 W Highway 50 Ste 210, Clermont, FL 34711-2835 | 2020-07-30 |
| 1285243162 | Robine Duprena | Registered Nurse | 2933 W Cypress Creek Rd Ste 201e, Ft Lauderdale, FL 33309-1760 | 2020-07-27 |
| 1598373250 | Naomi David Julmus | Registered Nurse | 26 Sw 21st Pl, Cape Coral, FL 33991-1346 | 2020-07-20 |
| 1164030235 | Grandpa Home Health, LLC | Registered Nurse | 3044 S Military Trl Ste J, Lake Worth, FL 33463-2112 | 2020-07-15 |
| 1457979494 | Ilianna Polatos-quintero | Registered Nurse | 17902 Nw 81st Ct, Hialeah, FL 33015-2847 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT SAINT LUCIE |
| Zip Code | 34953 |
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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.