BRANDY M HENDERSON (NPI# 1568791432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568791432 |
| Entity Type | Individual |
| Full Name | BRANDY M HENDERSON |
| Credential | ARNP |
| Practice Address |
15150 Cronewood Ln Memphis IN 47143-9417 |
| Practice Telephone | 8127866639 |
| Mailing Telephone | 8127866639 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3006303 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000909083 | 01 |
| KY | 7100193910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316452253 | Brandy Davina Henderson | Registered Nurse | 4950 Northcutt Pl, Dayton, OH 45414-3840 | 2017-12-13 |
| Street Address |
15150 CRONEWOOD LN |
| City | MEMPHIS |
| State | IN |
| Zip Code | 47143-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801293683 | Brandy Henderson Aprn LLC | Nurse Practitioner | 15150 Cronewood Ln, Memphis, IN 47143-9417 | 2014-11-22 |
| 1487910253 | Darward Anthony Henderson | Physical Therapist | 15150 Cronewood Ln, Memphis, IN 47143-9417 | 2012-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780159335 | Courtney A Beckman | Occupational Therapist | 5705 Greenland Pass, Memphis, IN 47143 | 2018-10-10 |
| 1528686714 | Chelsea Sayers | Physical Therapy Assistant | 4400 Murphy Rd, Memphis, IN 47143-9132 | 2020-07-14 |
| 1881151470 | Heidi Anne Sellers | Developmental Therapist | 2916 Glendale Ct, Memphis, IN 47143-9480 | 2019-03-01 |
| 1477910271 | Stacy Collins | Occupational Therapist | 813 Weaver Rd, Memphis, IN 47143-9529 | 2016-01-25 |
| 1861884207 | Michael Lynch | Specialist/Technologist | 7604 County Road 111, Memphis, IN 47143-9615 | 2015-02-23 |
| 1407273634 | Mary Schroder | Registered Nurse | 7711 Old Highway 111, Memphis, IN 47143-9661 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881440 | One Call Away Honecare LLC | Adult Companion | 5413 Riverstone Dr, Memphis, TN 38125-4334 | 2020-11-08 |
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1366043515 | Patricia Burdette | Technician | 4955 Gertrude Dr, Memphis, TN 38125-5753 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1346841988 | Kayla Lee | Social Worker | 2017 Goodhaven Dr, Memphis, TN 38116-7605 | 2020-11-02 |
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1174123632 | Mary Chantay Mitchell | Registered Nurse | 3342 Caribou Dr, Memphis, TN 38115-3006 | 2020-10-26 |
| 1336748854 | Kristen Hoover | Counselor | 4515 Poplar Ave Ste 305, Memphis, TN 38117-7507 | 2020-10-26 |
| Find all providers in MEMPHIS | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on BRANDY M HENDERSON.
| 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.