LISA HENDERSON (NPI# 1679092183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679092183 |
| Entity Type | Individual |
| Full Name | LISA HENDERSON |
| Credential | RDN |
| Practice Address |
3925 159th Ave Ne Redmond WA 98052-6309 |
| Mailing Address |
7811 Ne 156th St Kenmore WA 98028-4626 |
| Practice Telephone | 4086653726 |
| Mailing Telephone | 2065790207 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI60795450 | WA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1912419243 | Lisa Renee Henderson | Nurse Practitioner | 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | 2017-10-26 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1053865675 | Lisa Ann Henderson | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2016-08-11 |
| 1396135836 | Lisa Henderson | Nurse Practitioner | 214 Blue Stem Drive, New Hope, PA 18938 | 2015-02-04 |
| 1346681327 | Lisa Henderson | Registered Nurse | 52 E Oak St, West Alexandria, OH 45381-1273 | 2013-07-08 |
| 1336378751 | Lisa Marie Henderson | Speech-Language Pathologist | 215 Covered Bridge Rd, Oneonta, NY 13820-4211 | 2009-07-07 |
| 1497999643 | Lisa Reshae Henderson | Nurse Practitioner | 814 N John Young Pkwy, Kissimmee, FL 34741-4912 | 2009-04-30 |
| 1922145432 | Lisa Danielle Henderson | Counselor | 331 54th Ave N, Nashville, TN 37209-3317 | 2007-01-31 |
| 1831710359 | Lisa Ann Henderson | Counselor | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-05-06 |
| Street Address |
3925 159TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-6309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972588820 | Maria Anne Pielaet | Family Medicine | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2005-12-14 |
| 1801374814 | Danielle Bethany Dombek | Health Educator | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-08-01 |
| 1477041275 | Kayla Griggs | Radiologic Technologist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2018-04-26 |
| 1821510777 | Crossover Health Medical Group | Specialist | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-07-12 |
| 1598171100 | Natalie Potts | Dietitian, Registered | 3925 159th Ave Ne, Microsoft Campus Building 22, Redmond, WA 98052-6309 | 2014-07-02 |
| 1033522057 | Monroe Therapeutic Massage | Massage Therapist | 3925 159th Ave Ne, Building 21, Redmond, WA 98052 | 2014-06-06 |
| 1013355411 | Grace Erin Oppenheim | Nurse Practitioner | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2013-06-06 |
| 1851635122 | Mustafa Muhammad Idris | Chiropractor | 3925 159th Ave Ne, Building 21, Redmond, WA 98052-6309 | 2012-11-26 |
| 1063770196 | Whole Health Medical Group Ohio Prof Corp | Clinic/Center | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-04-26 |
| 1366717373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306979 | Jessica Gingrich | Dietitian, Registered | 17628 Ne 88th Pl, Redmond, WA 98052-3252 | 2019-10-07 |
| 1457865826 | Kathryn Zacheretti Spottswood | Dietitian, Registered | 10222 167th Pl Ne, Redmond, WA 98052-3124 | 2017-11-21 |
| 1629460035 | Kimberly Boggs | Dietitian, Registered | 6107 230th Ave Ne, Redmond, WA 98053-8154 | 2015-02-22 |
| 1336492099 | Sharyn Saftler | Dietitian, Registered | 16609 Ne 91st St, Redmond, WA 98052-3722 | 2012-10-18 |
| 1457647968 | Kelly Meredith Ornberg | Dietitian, Registered | 1256 Nw Canal Blvd, Redmond, OR 97756 | 2011-06-22 |
| 1801129689 | Michel Leigh Bernotas | Dietitian, Registered | 22842 Ne 42nd St, Redmond, WA 98053-8322 | 2009-09-11 |
| 1952583270 | Dalia Zimmerman | Dietitian, Registered | 2280 Sw Kalama Ave, Redmond, OR 97756-2557 | 2007-11-28 |
| 1417160813 | Lu Ann Marie Lehnertz | Dietitian, Registered | 1253 North Canal Blvd, Redmond, OR 97756 | 2007-05-08 |
| 1811057649 | Marilyn Kay Brill | Dietitian, Registered | 17236 Ne 144th St., Redmond, WA 98052-1177 | 2006-12-11 |
| 1073112637 | Caroline Samantha Renner | Dietitian, Registered | 16345 Ne 87th St # B6, Redmond, WA 98052-3503 | 2020-10-23 |
| Find all providers in REDMOND | ||||
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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.