MARQUITA HENDERSON (NPI# 1407350812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407350812 |
Entity Type | Individual |
Full Name | MARQUITA HENDERSON |
Practice Address |
1101 Gooseberry Hl Shreveport LA 71118-3508 |
Practice Telephone | 3186583528 |
Mailing Telephone | 3186583528 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-03-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
31134 | LA | Other Service Providers |
Street Address |
1101 GOOSEBERRY HL |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-3508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780195453 | Tommie Strawther Rhone | Specialist | 2727 Mackey Ln, Shreveport, LA 71118-2556 | 2017-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700483609 | Keondra Prevost | Specialist | 3357 Whisper Ln, Gretna, LA 70056-7788 | 2020-10-04 |
1528693736 | Crystal Leblanc | Specialist | 810 Oneal Ln, Baton Rouge, LA 70816-1805 | 2020-03-09 |
1518500255 | Extensions & Flow Salon | Specialist | 561 Phyllis Dr, Westwego, LA 70094-2927 | 2019-10-25 |
1811542830 | Trenisha Bonton | Specialist | 9626 Airline Hwy Ste 202, Baton Rouge, LA 70815-5564 | 2019-08-06 |
1871146605 | Pamela Denise Haynes | Specialist | 116 Maryland St, Hammond, LA 70403-3948 | 2019-07-21 |
1639634686 | Tammy Ledet Guillory | Specialist | 1323 12th St, Lake Charles, LA 70601-6377 | 2019-02-04 |
1245714997 | Jaleesa Chantell Carprue | Specialist | 5000 Forsythe Byp Ste 114, Monroe, LA 71201-2168 | 2018-09-19 |
1598246670 | Athan Joseph Jefferson | Specialist | 1097 S Flannery Rd, Baton Rouge, LA 70815-6920 | 2018-08-27 |
1548764996 | Latousha Dorsey | Specialist | 2310 Riverwood Dr Ste C, Bossier City, LA 71111-3498 | 2018-03-21 |
1750883880 | National Hair Loss Foundation | Specialist | 3570 Holiday Dr Ste 8, New Orleans, LA 70114-8287 | 2018-03-05 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71118 |
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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.