TARA ANN HENDERSON (NPI# 1548789688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548789688 |
| Entity Type | Individual |
| Full Name | TARA ANN HENDERSON |
| Credential | APRN, NP-C |
| Practice Address |
1575 N Santa Fe Ave Edmond OK 73003-3638 |
| Mailing Address |
5416 Piedmont Rd N Piedmont OK 73078-9177 |
| Practice Telephone | 4052850660 |
| Mailing Telephone | 4053684506 |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2017-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
123087 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873751 | Tara Christine Henderson | Occupational Therapist | 1215 Wildewood Downs Circle, Columbia, SC 29223 | 2019-10-28 |
| 1386794329 | Tara Henderson | Pediatrics | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2007-01-11 |
| 1396712949 | Tara B. Henderson | Physical Therapist | 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176 | 2006-03-02 |
| Street Address |
1575 N SANTA FE AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73003-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083663322 | Bettina Veronneau | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-05-05 |
| 1487052999 | Courtney Luanne Burns | Nurse Practitioner | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2014-12-15 |
| 1487883633 | Lauren Garabelli | Pediatrics | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2009-07-09 |
| 1710047550 | Mercy Health Network Inc | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-12-11 |
| 1356362073 | Darrel L. Stout | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-21 |
| 1164457255 | Matthew S Dowell | Family Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-11 |
| 1205868379 | Shawn C. Schlinke | Internal Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-07 |
| 1558391466 | Merl W. Simmons | Pediatrics | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-07-04 |
| 1982653721 | Jesse R. Campbell | Internal Medicine | 1575 N Santa Fe Ave, Edmond, OK 73003-3638 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945202 | Korbin Hally | Dentist | 2600 Tayler Street, Edmond, OK 73003 | 2020-06-04 |
| 1003448325 | Diagnostic Resources, LLC | Physical Medicine & Rehabilitation | 1641 Saratoga Way, Edmond, OK 73003 | 2020-02-05 |
| 1861904021 | Rhonda Diane Pennington | Occupational Therapist | 515 S Santa Fe Ave Ste 103, Edmond, OK 73003 | 2017-10-27 |
| 1588173744 | Hpc Holdings LLC | Clinic/Center | 813 W Covell Rd, Edmond, OK 73003 | 2017-09-20 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1104274927 | Bonsu Osei Asibey | Case Manager/Care Coordinator | 1301 Craig Blvd, Edmond, OK 73003 | 2016-06-02 |
| 1215390810 | Prince Yebo | Case Manager/Care Coordinator | 1817 Redland Dr, Edmond, OK 73003 | 2016-03-31 |
| 1548621691 | Charles Loftis | Physical Therapist | 1321 Fretz Drive, 100, Edmond, OK 73003 | 2016-03-17 |
| 1487013801 | Courage Counseling Center | Community/Behavioral Health | 1400 S. Fretz Ave, Suite 1400, Edmond, OK 73003 | 2016-02-12 |
| 1669889887 | Shannon Gogel | Occupational Therapy Assistant | 1309 Val Genes Rd, Edmond, OK 73003 | 2014-07-21 |
| Find all providers in zip 73003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951519 | Crystal Marie Mapes | Nurse Practitioner | 1920 E 2nd St Apt 4015, Edmond, OK 73034-6385 | 2020-10-28 |
| 1568069185 | Ancie Madden | Nurse Practitioner | 153 Ledgemont Dr, Edmond, OK 73013-1693 | 2020-10-06 |
| 1932712973 | Katrina Michelle Todd | Nurse Practitioner | 3908 Lakeshire Ridge Ct, Edmond, OK 73034-1049 | 2020-08-28 |
| 1215554662 | Emily Kathyrn Cockrell | Nurse Practitioner | 133 Kimberly Dr, Edmond, OK 73003-2376 | 2020-07-01 |
| 1982226361 | Covid Busters, LLP | Nurse Practitioner | 1632 Camden Way, Edmond, OK 73013-2939 | 2020-05-08 |
| 1235759291 | Sara Elizabeth Lacy-antonelli | Nurse Practitioner | 311 S Rankin St, Edmond, OK 73034-5345 | 2020-04-20 |
| 1528608551 | Stacey Lynn Lowery | Nurse Practitioner | 16212 Scissortail Dr, Edmond, OK 73013-9422 | 2020-01-07 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1700447356 | Jeana Backus | Nurse Practitioner | 2017 W I 35 Frontage Rd Ste 170, Edmond, OK 73013-8558 | 2019-06-25 |
| 1366001315 | Kara Nicole De La Pena | Nurse Practitioner | 1501 N Midwest Blvd, Edmond, OK 73034-8412 | 2019-06-12 |
| Find all providers in EDMOND | ||||
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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.