MRS. LISA RESHAE HENDERSON (NPI# 1497999643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497999643 |
| Entity Type | Individual |
| Full Name | MRS. LISA RESHAE HENDERSON |
| Other Name | MS. LISA RESHAE FELTON |
| Practice Address |
814 N John Young Pkwy Kissimmee FL 34741-4912 |
| Practice Telephone | 4078160189 |
| Practice Fax Number | 4078701579 |
| Mailing Telephone | 4078160189 |
| Mailing Fax Number | 4078701579 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2962412 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1912419243 | Lisa Renee Henderson | Nurse Practitioner | 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | 2017-10-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1053865675 | Lisa Ann Henderson | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2016-08-11 |
| 1396135836 | Lisa Henderson | Nurse Practitioner | 214 Blue Stem Drive, New Hope, PA 18938 | 2015-02-04 |
| 1346681327 | Lisa Henderson | Registered Nurse | 52 E Oak St, West Alexandria, OH 45381-1273 | 2013-07-08 |
| 1336378751 | Lisa Marie Henderson | Speech-Language Pathologist | 215 Covered Bridge Rd, Oneonta, NY 13820-4211 | 2009-07-07 |
| 1922145432 | Lisa Danielle Henderson | Counselor | 331 54th Ave N, Nashville, TN 37209-3317 | 2007-01-31 |
| 1831710359 | Lisa Ann Henderson | Counselor | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-05-06 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| Street Address |
814 N JOHN YOUNG PKWY |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| 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 |
|---|---|---|---|---|
| 1770106734 | Lisette Corrales Alvarez | Nurse Practitioner | 1709 Oak Breeze Ave, Kissimmee, FL 34744-2736 | 2020-05-26 |
| 1376178905 | Teliya Zyambo | Nurse Practitioner | 3357 W Vine St # 303, Kissimmee, FL 34741-4664 | 2020-03-04 |
| 1629632898 | Lorena Lopez | Nurse Practitioner | 5348 Harmony Pl, Kissimmee, FL 34758-2281 | 2019-04-23 |
| 1871051771 | Glenda Rose Houghton | Nurse Practitioner | 2605 Sunningdale Dr, Kissimmee, FL 34746-3185 | 2019-03-09 |
| 1700358918 | Hashem Abu Baker | Nurse Practitioner | 102 Park Place Blvd # 3, Kissimmee, FL 34741-2358 | 2018-12-28 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1417469305 | Michelle De Oliveira | Nurse Practitioner | 1114 Cypress Glen Cir, Kissimmee, FL 34741-7559 | 2017-10-31 |
| 1689185258 | Arnessa Williams Weston | Nurse Practitioner | 1142 Roan Ct, Kissimmee, FL 34759-7030 | 2017-10-23 |
| 1528591708 | Roselyn Torres Riera | Nurse Practitioner | 1010 Hermosa Way, Kissimmee, FL 34744-7220 | 2017-04-05 |
| 1669846705 | Katherine Taylor | Nurse Practitioner | 3675 Oberry Rd, Kissimmee, FL 34746-3943 | 2015-11-28 |
| Find all providers in KISSIMMEE | ||||
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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.