SUSAN HENRY (NPI# 1699930149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699930149 |
| Entity Type | Individual |
| Full Name | SUSAN HENRY |
| Credential | LMP |
| Practice Address |
1300 Ne Goldie St Oak Harbor WA 98277-4832 |
| Mailing Address |
101 N Main St Coupeville WA 98239-3413 |
| Practice Telephone | 3606787656 |
| Practice Fax Number | 3606791632 |
| Mailing Telephone | 3606787656 |
| Mailing Fax Number | 3606780326 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00022343 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA LICENSE | MA00022343 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730642935 | Susan Lipman Henry | Social Worker | 35 Nutmeg Ln, Fairfield, CT 06824-3909 | 2019-04-13 |
| 1073935946 | Susan Henry | Social Worker | 7022 Emerson St, Morton Grove, IL 60053-1205 | 2014-01-13 |
| 1376985499 | Susan Henry | Occupational Therapist | 7 Independence Way Apt 403, Franklin, MA 02038-7312 | 2013-07-18 |
| 1609043413 | Susan Lynn Henry | Speech-Language Pathologist | 9212 Oswald Way, Apt. 2d, Baltimore, MD 21237-4464 | 2008-05-12 |
| 1114315769 | Susan Henry | Physical Therapist | 126 N San Gabriel Blvd, San Gabriel, CA 91775-2427 | 2015-01-06 |
| 1013313485 | Susan Jean Henry | Case Manager/Care Coordinator | 650 W Southern Ave, Mesa, AZ 85210-5032 | 2014-11-13 |
| 1477795755 | Susan Henry | Nurse Practitioner | 9834 Genesee Ave, Suite Number: 400, La Jolla, CA 92037-1223 | 2009-04-01 |
| 1174706089 | Susan D. Henry | Social Worker | 10810 Executive Center Dr, Suite 303, Little Rock, AR 72211-4354 | 2007-12-13 |
| 1477686889 | Susan Henry | Marriage & Family Therapist | 4710 Champions Trace Ln, 107, Louisville, KY 40218-3495 | 2007-03-14 |
| 1447311071 | Susan K Henry | Emergency Medicine | 1 Childrens Plz, Dayton, OH 45404-1873 | 2006-12-13 |
| Street Address |
1300 NE GOLDIE ST |
| City | OAK HARBOR |
| State | WA |
| Zip Code | 98277-4832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497636 | Whidbey Island Public Hospital District | Clinic/Center | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2006-06-19 |
| 1821632639 | Whidbey Island Public Hospital District | Clinic/Center | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2019-11-05 |
| 1710402540 | Seth M Grisham | Physician Assistant | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2017-08-14 |
| 1306216908 | Jennifer S. Gruenwald | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2015-09-25 |
| 1912317496 | Marcia Fort | Social Worker | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2014-05-05 |
| 1700221504 | Elizabeth Nell Harris | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2013-05-07 |
| 1134480056 | Annette Fly | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2012-06-07 |
| 1871894543 | Kimberly Marie Ferguson | Physician Assistant | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2010-11-10 |
| 1063654523 | Mary Brencick | Social Worker | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2009-03-30 |
| 1376769810 | Lynda Reidling | Nurse Practitioner | 1300 Ne Goldie St, Oak Harbor, WA 98277-4832 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951782 | Amber Dorothy Rettus | Counselor | 31640 Wa -20 #1, Oak Harbor, WA 98277 | 2019-09-13 |
| 1528612082 | Grace Alfery Finnell | Pharmacist | 31645 Sr 20, Oak Harbor, WA 98277 | 2019-08-01 |
| 1407321839 | Leah Marie Threats | Behavior Technician | Advance Behavioral Education Continuum, 231 Se Barrington Dr. Ste 201, Oak Harbor, WA 98277 | 2018-10-12 |
| 1285115329 | Jared M Wirth | Dentist | 275 Se Cabot Dr., #b201, Oak Harbor, WA 98277 | 2018-08-27 |
| 1952896854 | Makella Ann Mccormack | Behavior Technician | 231 Se Barrington Dr. Ste 203, Oak Harbor, WA 98277 | 2018-06-25 |
| 1972004703 | Sophia Kaye Johnson | Counselor | 3165 Wa-20 Suite#1, Oak Harbor, WA 98277 | 2018-02-27 |
| 1043728827 | Lance D Keyes Dds | Dentist | 32650 State Route 20 Ste E106, Oak Harbor, WA 98277 | 2018-01-16 |
| 1689195075 | Laboratory Corporation of America | Clinical Medical Laboratory | 275 Se Cabot Dr Ste A9, Oak Harbor, WA 98277 | 2017-07-06 |
| 1841723368 | Stephanie Bailey | Behavioral Analyst | 231 Barrington Dr. Suite 201, Oak Harbor, WA 98277 | 2017-04-11 |
| 1336684463 | Angel Lyn Faith Camello | Behavior Technician | 31955 State Route 20, #3, Oak Harbor, WA 98277 | 2016-12-28 |
| Find all providers in zip 98277 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558836163 | Michael Orland Bell | Massage Therapist | 230 Se 8th Ave, Oak Harbor, WA 98277-3735 | 2018-10-10 |
| 1356856629 | Jacqueline Auld Unzicker | Massage Therapist | 840 Se Bayshore Dr Ste 101c, Oak Harbor, WA 98277-4062 | 2017-12-08 |
| 1619338613 | Sherri Spoltman | Massage Therapist | 421 Silver Lake Rd, Oak Harbor, WA 98277-7814 | 2016-03-17 |
| 1477946028 | Deborah May Rivera | Massage Therapist | 840 S.e. Bayshore Dr., Oak Harbor, WA 98277 | 2015-03-06 |
| 1295144640 | Jamila Goetz | Massage Therapist | 1227 Cascade Cir, Oak Harbor, WA 98277-4131 | 2014-08-11 |
| 1619397627 | Melissa Mcswain | Massage Therapist | 320 Se Barrington Dr Apt B201, Oak Harbor, WA 98277-5771 | 2014-04-17 |
| 1003160318 | Carolyn Brady | Massage Therapist | 571 Sw Waterloo Ave, Oak Harbor, WA 98277-8486 | 2012-11-08 |
| 1942525845 | Robin Leah Johnson | Massage Therapist | 231 Se Barrington Ave Suite 110, Oak Harbor, WA 98277-3868 | 2010-04-02 |
| 1417122243 | Marlene S. Empcke | Massage Therapist | 136 W Water St, Oak Harbor, OH 43449-2303 | 2008-04-23 |
| 1427194513 | Julene L Martone | Massage Therapist | 495 Se Maylor St, Ste 2, Oak Harbor, WA 98277 | 2007-01-29 |
| Find all providers in OAK HARBOR | ||||
| City | OAK HARBOR |
| Zip Code | 98277 |
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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.