CAROL BONELLO HENRY (NPI# 1568692176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568692176 |
| Entity Type | Individual |
| Full Name | CAROL BONELLO HENRY |
| Credential | A.R.N.P. |
| Practice Address |
3250 Zemke Ave Tampa FL 33621-5023 |
| Mailing Address |
Po Box 2715 Brandon FL 33509-2715 |
| Practice Telephone | 8138279767 |
| Mailing Telephone | 8136550292 |
| Mailing Fax Number | 8136554302 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 1644702 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455716 | Carol Henry | Nurse Practitioner | 287 E Cliffwood St, Longview, TX 75603-7556 | 2020-04-06 |
| 1841351798 | Carol Henry | Counselor | 4810 Hardware Dr Ne # 3, Albuquerque, NM 87109-2013 | 2006-12-13 |
| 1780760173 | Carol A Henry | Psychologist | 3401 Bristol Rd, Ft Worth, TX 76107 | 2006-10-27 |
| 1750500211 | Carol Henry | Registered Nurse | 1221 Fulton Mall, Fresno, CA 93721-1915 | 2007-04-24 |
| 1518003219 | Carol Janet Henry | Psychologist | 2107 Elliott Ave, Suite 309, Seattle, WA 98121-2186 | 2007-01-29 |
| Street Address |
3250 ZEMKE AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33621-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621856 | Michael Andre Couvillon | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2005-07-07 |
| 1437756343 | Molly Buchanan | Optometrist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-10-04 |
| 1851917967 | Cristina Brock De Jesus | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-06-24 |
| 1588283188 | Echo Sims | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275152852 | Kimberley Nichole Wissner | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2020-04-13 |
| 1275171233 | Michael David Jensen | Nurse Practitioner | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-12-20 |
| 1023661196 | Jazzy-mae Nieto | Military Health Care Provider | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-07-18 |
| 1588227243 | Max E Lindgren | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-18 |
| 1366904948 | Sindy Johanna Maldonado | Physician Assistant | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2019-04-03 |
| 1164993135 | Jessica Hague | Psychologist | 3250 Zemke Ave, Tampa, FL 33621-5023 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644750 | Kwanza Lincoln | Military Health Care Provider | 3520 Zemke Ave, Tampa, FL 33621 | 2017-08-04 |
| 1922407659 | Michelle Lind | Social Worker | 8126 Hangar Loop Dr, 927the Arw - Bldg 296, Room 231, Tampa, FL 33621 | 2014-08-19 |
| 1588932768 | Katherine Holmes | Physician Assistant | 6th Medical Group, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2011-12-02 |
| 1558378273 | Graeme Charles Bicknell | Social Worker | 4815 Bayshore Blvd, 6th Medical Group, Tampa, FL 33621 | 2006-08-02 |
| 1659346146 | Laura Umfer | Psychologist | 4515 Bayshore Blvd, Tampa, FL 33621 | 2006-02-20 |
| 1205808516 | Kenneth Joseph Baron | Physician Assistant | 3250 Zemke Ave #1078, 6th Medical Group, Macdill Afb, FL 33621 | 2006-02-02 |
| 1760478044 | Michael Glenn Hodges | Family Medicine | 3250 Zerkle Avenue, Macdill Afb, FL 33621 | 2005-09-22 |
| 1003801242 | Heather Ann Newman | Nurse Anesthetist, Certified Registered | 6th Medical Group/sghc, 8415 Bayshore Blvd, Macdill Afb, FL 33621 | 2005-09-14 |
| 1861486789 | Daniel N. Park | Physician Assistant | Ussocom Clinic, 3250 Zemke Ave, Macdill Afb, FL 33621 | 2005-09-07 |
| 1164675070 | 6 Medical Group | Military Hospital | 8415 Bayshore Blvd, Macdill Base, Tampa, FL 33621 | 2008-10-23 |
| Find all providers in zip 33621 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083352 | Brittany Ann Parmenter | Nurse Practitioner | 4446 E Fletcher Ave Ste A, Tampa, FL 33613-4942 | 2020-01-29 |
| 1316505217 | Kelsey Anne Overton | Nurse Practitioner | 4444 E Fletcher Ave Ste B, Tampa, FL 33613-4905 | 2019-06-05 |
| 1881196798 | Jennifer March Santana | Nurse Practitioner | 3603 W Royal Palm Cir, Tampa, FL 33629-8353 | 2018-03-06 |
| 1083060636 | Dalia Azuolaityte Galley | Nurse Practitioner | 3838 W Neptune St Ste D6, Tampa, FL 33629-5841 | 2016-05-12 |
| 1275916165 | Sean M Wilder | Nurse Practitioner | 1919 W Swann Ave Fl 2, Tampa, FL 33606-2417 | 2015-07-09 |
| 1710372107 | Patsy Giarda | Nurse Practitioner | 3405 W Fletcher Ave, Tampa, FL 33618-2813 | 2015-04-01 |
| 1902297963 | Aimee Januska | Nurse Practitioner | 3003 W. Mlk Blvd, Mab 3rd Fl., Tampa, FL 33607 | 2015-02-12 |
| 1801239256 | Lindsey Sawicki | Nurse Practitioner | 4714 N Armenia Ave Ste 201, Tampa, FL 33603-2603 | 2013-04-15 |
| 1164766002 | Jose R. Foradada, IIi, Md, P.a. | Nurse Practitioner | 4710 N. Habana Ave., Suite 307, Tampa, FL 33614-7151 | 2012-11-15 |
| 1588938989 | Elena Marie Walker | Nurse Practitioner | 6216 E Sligh Ave, Tampa, FL 33617-9105 | 2012-03-02 |
| Find all providers in TAMPA | ||||
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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.