MRS. JENNIFER SUE HENN (NPI# 1477916229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477916229 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER SUE HENN |
| Credential | ATC, MBA |
| Practice Address |
5050 N Clinton St Fort Wayne IN 46825-5886 |
| Mailing Address |
6311 Shadow Ridge Run Fort Wayne IN 46804-4290 |
| Practice Telephone | 2604848551 |
| Mailing Telephone | 2605808974 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 36002067A | IN | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5050 N CLINTON ST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144228529 | Scott Davis | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2005-07-11 |
| 1477179737 | Mirsad Maglajlic | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-23 |
| 1053937961 | Kay Elizabeth Brown | Registered Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-17 |
| 1831714716 | Raelene Marie Lamott | Licensed Practical Nurse | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2020-06-16 |
| 1982184701 | Angela R Kesler | Physical Therapist | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-21 |
| 1912485947 | Kaley Alison Weber | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-08-01 |
| 1275019341 | Cayla Marie Vorndran | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-07-12 |
| 1629560370 | Aaron Michael Lewis | Nurse Anesthetist, Certified Registered | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-05-30 |
| 1144724402 | Surgery One Anesthesia, LLC | Anesthesiology | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-21 |
| 1235631557 | Samuel Vincent Dismuke | Physician Assistant | 5050 N Clinton St, Fort Wayne, IN 46825-5886 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235591090 | Joseph Gonzalez | Specialist/Technologist, Other | 11130 Parkview Circle Dr, Fort Wayne, IN 46845-1735 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354107 | Matthew Cantrell | Specialist/Technologist, Other | 6567 Whitestown Pkwy, Zionsville, IN 46077-7621 | 2018-11-05 |
| 1750826905 | Courtney East | Specialist/Technologist, Other | 14811 Dorset Dr, Noblesville, IN 46062-4682 | 2016-12-27 |
| 1285046664 | Timothy Slabaugh | Specialist/Technologist, Other | 4851 Deer Ridge Dr S, Carmel, IN 46033-8910 | 2014-05-20 |
| 1679855084 | Joe Gutzwiller | Specialist/Technologist, Other | 6166 Deerwood Ct, Greenwood, IN 46143-9161 | 2011-09-12 |
| 1124309141 | Ashley Stegner | Specialist/Technologist, Other | 110 Hillside Cir, Charlestown, IN 47111-1007 | 2011-09-03 |
| 1649243817 | Scott Robert Stansbury | Specialist/Technologist, Other | University of Notre Dame Athletics, Sports Medicine Room C113 Joyce Center, Notre Dame, IN 46556 | 2006-02-09 |
| 1932700572 | Kacey Nicole Kaelin | Specialist/Technologist, Other | 1100 E 5th St, Anderson, IN 46012-3495 | 2020-11-02 |
| 1053938910 | Deonadre Sanders Sr. | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2020-06-26 |
| 1366089401 | Jessyca Mecole Batiest | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| 1518504653 | Angela Malone | Specialist/Technologist, Other | 1100 W 6th Ave, Gary, IN 46402-1711 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.