JEFFERY B HENDERSON (NPI# 1629546213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629546213 |
Entity Type | Individual |
Full Name | JEFFERY B HENDERSON |
Practice Address |
950 Highway 431 Ste 1 Roanoke AL 36274-7314 |
Practice Telephone | 7068854553 |
Mailing Telephone | 7068854553 |
Enumeration Date | 2018-11-13 |
Last Update Date | 2018-11-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598072654 | Jeffery Y Henderson | Dentist | 5955 Zeamer Avenue, 673rd Mdg, Joint Base Elmendorf-richardson, AK 99506 | 2010-09-09 |
1801101142 | Jeffery Henderson | Counselor | 116 Se Ave N, Idabel, OK 74745-5234 | 2010-08-11 |
1295789584 | Jeffery Leonard Henderson | Physician Assistant | 701 E A Ave, Kingman, KS 67068-1723 | 2006-05-20 |
Street Address |
950 HIGHWAY 431 STE 1 |
City | ROANOKE |
State | AL |
Zip Code | 36274-7314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
Find all providers in zip 36274 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225429442 | Timothy M Lane | Psychologist | 209 Travis St Ste 101, Roanoke, TX 76262-8661 | 2015-02-10 |
1114327699 | Wayne Oliver Powell | Psychologist | 3536 Brambleton Ave., Sw, Suite 3, Brambleton Assessment & Counseling Center, Roanoke, VA 24018-3536 | 2014-09-03 |
1619022142 | Susan Slate Mathews-duvall | Psychologist | 3959 Electric Rd Ste 210, Roanoke, VA 24018-4507 | 2007-01-24 |
1356312987 | Alice Wilkerson | Psychologist | 2762 Electric Rd, Suite C, Roanoke, VA 24018-3582 | 2006-01-31 |
1790235158 | Donna Fleming | Psychologist | 209 Travis St, Roanoke, TX 76262-8603 | 2016-10-10 |
1902017114 | Doris Eileen Nevin | Psychologist | 3247 Electric Rd, Suite 1-a, Roanoke, VA 24018-6448 | 2007-05-28 |
1740251362 | Bruce Sellars | Psychologist | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2006-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932700812 | Daniel A. Maddox | Psychologist | 100 Creekwood Ln, Helena, AL 35080-3272 | 2020-11-05 |
1184233033 | Richard Chase Morris | Psychologist | 2800 5th Ave, Phenix City, AL 36867-4129 | 2020-07-27 |
1861001117 | Jackie Charlene Miller | Psychologist | 1910 37th Ave, Phenix City, AL 36870-3528 | 2020-07-23 |
1437767472 | Dennis Allen Donahue | Psychologist | 30 Richardson Dr, Daleville, AL 36322-2213 | 2020-07-15 |
1366991119 | Brooke Nowak | Psychologist | 528 E University Dr, Auburn, AL 36830-6850 | 2016-09-21 |
1093138695 | Christopher Narcisse | Psychologist | 256 County Road 45, Thomasville, AL 36784-3725 | 2014-02-03 |
1548533169 | Ashley Beth Hampton | Psychologist | 6052 Cathwick Dr, Mc Calla, AL 35111-3478 | 2012-02-13 |
1902128127 | Charles Daniel Crosby | Psychologist | 2704 Gaines Rd Se, Huntsville, AL 35803-1358 | 2010-02-16 |
1487896346 | Annette S. Kluck | Psychologist | 2084 Haley Ctr, Auburn, AL 36849-0001 | 2009-03-24 |
1912152505 | Thomas Scott Maple | Psychologist | 609 Lismore Dr, Opelika, AL 36804-6182 | 2008-11-24 |
Find all providers with the same taxonomy |
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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.