MICHAEL JAMES HENDERSON (NPI# 1407340730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407340730 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES HENDERSON |
| Credential | FNP |
| Practice Address |
380 Chase Ave Walla Walla WA 99362-2924 |
| Practice Telephone | 5098973000 |
| Mailing Telephone | 5098973000 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60851799 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972858165 | Michael Henderson | Behavioral Analyst | 251 Tanglewood Dr, Southern Pines, NC 28387-4323 | 2012-07-13 |
| 1205158615 | Michael S Henderson | Pharmacist | 4501 66th St N, Kenneth City, FL 33709-4923 | 2010-02-26 |
| 1366501231 | Michael Daniel Henderson | Technician/Technologist | 10365 S E Hwy 441, Belleview, FL 34420 | 2006-12-07 |
| 1780759340 | Michael Larry Henderson | Counselor | 1650 Mission St Ste 218, San Francisco, CA 94103-2414 | 2006-11-21 |
| 1730262262 | Michael Steven Henderson | Dentist | 39833 Traditions Dr, Northville, MI 48168-9498 | 2006-10-20 |
| 1659465193 | Michael Toledo Henderson | Marriage & Family Therapist | 6518 Lonetree Blvd, Suite 172, Rocklin, CA 95765-5874 | 2006-10-02 |
| 1770698565 | Michael James Henderson | Social Worker | 433 Main, Suite 4b, Kalispell, MT 59901 | 2006-08-20 |
| 1033180914 | Michael Lee Henderson Jr. | Pharmacist | 221 W Heron St, Aberdeen, WA 98520 | 2006-01-30 |
| 1265423594 | Michael G Henderson | Physician Assistant | 165 W Commerce Dr, Belle Plaine, MN 56011-2911 | 2005-11-04 |
| 1144219585 | Michael David Henderson | Internal Medicine | 2360 1st St, Napa, CA 94559-2239 | 2005-10-18 |
| Street Address |
380 CHASE AVE |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362-2924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235113606 | Jean L Sherman | Registered Nurse | 380 Chase Ave, Coumadin/wound Clinic, Walla Walla, WA 99362-2924 | 2005-11-30 |
| 1619459815 | Briana Maynor | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2018-09-04 |
| 1326569682 | Providence Health & Services - Washington | Internal Medicine | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-06-27 |
| 1699205765 | Kenna E Marx | Pharmacist | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-06-12 |
| 1851839682 | Graycen Duffy | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-01-31 |
| 1184003295 | Joshua Wicks | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2015-05-21 |
| 1134467582 | Dalari Allington | Pharmacist | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2013-01-18 |
| 1578867842 | Lisa Maurer Must | Physician Assistant | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2010-12-30 |
| 1558599654 | John R. Stoddard | Family Medicine | 380 Chase Ave, Providence Medical Group, Walla Walla, WA 99362 | 2009-06-26 |
| 1508000142 | Providence Health & Services - Washington | Clinic/Center | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518210319 | Evelyn Martindale | Nurse Practitioner | 401 W. Poplar Street, Walla Walla, WA 99362 | 2012-10-18 |
| 1811276322 | Nicole Marie Flemmer | Nurse Practitioner | 1025 S 2nd Ave Ste 3, Walla Walla, WA 99362-4116 | 2011-08-15 |
| 1134425127 | Melanie Earline Howard | Nurse Practitioner | 1313 N. 13th Avenue, Walla Walla, WA 99362-1065 | 2011-02-08 |
| 1699931493 | Michael K Frizelle | Nurse Practitioner | 77 Wainwright Dr Va Medical Center, Jonathan M Wainwright Memorial, Walla Walla, WA 99362-9814 | 2008-07-31 |
| 1225049992 | Paul L. Holce | Nurse Practitioner | 1577 Beet Rd, Walla Walla, WA 99362-7182 | 2006-08-10 |
| 1851839682 | Graycen Duffy | Nurse Practitioner | 380 Chase Ave, Walla Walla, WA 99362-2924 | 2017-01-31 |
| 1114378684 | Mary Buriani | Nurse Practitioner | 1111 S 2nd Ave, Walla Walla, WA 99362-4118 | 2016-06-27 |
| 1417324260 | Mary Ann G Palmer | Nurse Practitioner | 77 Wainwright Dr, Walla Walla, WA 99362-3975 | 2015-08-27 |
| 1962885210 | Ronald Q. Ferranco | Nurse Practitioner | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2015-07-06 |
| 1699111328 | Dns Group LLC | Nurse Practitioner | 1312 E Isaacs Ave, Walla Walla, WA 99362-2152 | 2013-05-21 |
| Find all providers in WALLA WALLA | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
Please comment or provide details below to improve the information on MICHAEL JAMES 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.