MRS. TAMMIE HENDERSON


Address: 400 S Kennedy Dr, Suite 900, Bradley, IL 60915-2682
Phone: 8159323132

MRS. TAMMIE HENDERSON (NPI# 1598164303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598164303
Entity Type Individual
Full Name MRS. TAMMIE HENDERSON
Credential N.P.
Practice Address 400 S Kennedy Dr
Suite 900
Bradley
IL 60915-2682
Practice Telephone 8159323132
Practice Fax Number 8159322397
Mailing Telephone 8159323132
Mailing Fax Number 8159322397
Enumeration Date 2014-08-18
Last Update Date 2014-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
209011570 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 400 S KENNEDY DR
SUITE 900
City BRADLEY
State IL
Zip Code 60915-2682

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871530436 Internal Medicine Associates of Kankakee, Ltd Internal Medicine 400 S Kennedy Dr, Suite 200, Bradley, IL 60915-2682 2006-06-01
1447763024 Devon Saini Physician Assistant 400 S Kennedy Dr, Bradley, IL 60915-2682 2017-11-06
1275085888 Kristen J Burton Physician Assistant 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 2016-10-30
1932550233 David A Fritz Nurse Practitioner 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 2016-06-28
1851777056 Christine Cantrell Occupational Therapist 400 S Kennedy Dr, Ste 500, Bradley, IL 60915-2682 2015-08-11
1992103097 Adriana Lingl Physician Assistant 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 2014-12-05
1760897219 Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 2014-06-24
1467881623 Kendra Vogel Occupational Therapist 400 S Kennedy Dr, Suite 500, Bradley, IL 60915-2682 2013-11-07
1487905352 Mary Ann Salera Garcia Physical Therapist 400 S Kennedy Dr, Suite 600, Bradley, IL 60915-2682 2012-10-02
1023366036 Cynthia Ann Provost Speech-Language Pathologist 400 S Kennedy Dr, Suite 600, Bradley, IL 60915-2682 2012-08-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285232991 Healthy Medical Inc Family Medicine 535 N. East St., Suite A, Bradley, IL 60915 2020-10-14
1679826309 Heather Sevier Specialist/Technologist 328 S Dearborn Ave, Bradley, IL 60915 2012-10-18
1013266584 Arlene De Leon Delacruz Physical Therapist 400 South Kennedy Dr., Bradley, IL 60915 2012-08-30
1023370699 Jessica Sorensen Physician Assistant 350 N Kinzie Ave, Bradley, IL 60915 2012-06-11
1184993164 Debra Malone Behavioral Analyst 136-142 1/2 South Clinton, Bradley, IL 60915 2011-12-21
1376840421 Joshua R Johnson Physician Assistant 400 S. Kennedy, Bradley, IL 60915 2011-02-24
1801192133 Eloise Adams Behavioral Analyst 136 142 1/2 South Clinton, Bradley, IL 60915 2011-02-03
1386948685 Rico J Hale Behavioral Analyst 136 142 South Clinton, Bradley, IL 60915 2010-12-29
1558665851 Joyce A Bollhorst Behavioral Analyst 136-142 South Clinton, Bradley, IL 60915 2010-12-29
1538469655 Kankakee Valley Chiropractic Chiropractor 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 2010-10-22
Find all providers in zip 60915

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740881291 Sarah Zeigler Olsen Nurse Practitioner 600 S Randall Rd Ste 220, Algonquin, IL 60102-5937 2020-11-02
1467051151 Mallory Jo Brooks Nurse Practitioner 2306 E County Road 1800 N, Carthage, IL 62321-3101 2020-10-22
1508475294 Diedra M Ahlert Nurse Practitioner 1320 Lexington Dr, Collinsville, IL 62234-4348 2020-07-28
1679182802 Danielle L Shubert Nurse Practitioner 9423 Holy Cross Ln Ste 111, Breese, IL 62230-3510 2020-07-23
1154962900 Janna Hoppe Nurse Practitioner 24600 W 127th St Ste 345, Plainfield, IL 60585-9507 2019-10-02
1841858529 Katherine R Conkling Nurse Practitioner 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 2019-05-29
1942767280 Danielle R Wetzel Nurse Practitioner 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 2019-02-22
1669937231 Colleen Ann Larkin Nurse Practitioner 10939 S Troy St, Chicago, IL 60655-2211 2019-02-07
1568939684 Katelyn Marie Reed Nurse Practitioner 415 N 9th St Ste 4w64, Springfield, IL 62702-5303 2018-10-26
1255813218 Michelle Christine Bollinger Nurse Practitioner 415 N 9th St Ste 4w16, Springfield, IL 62702-5303 2018-09-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRADLEY
Zip Code 60915

Improve Information

Please comment or provide details below to improve the information on MRS. TAMMIE HENDERSON.

Dataset Information

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.

Trending Searches