TRAVIS R HENDERSON (NPI# 1700222437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700222437 |
| Entity Type | Individual |
| Full Name | TRAVIS R HENDERSON |
| Credential | PA-C |
| Practice Address |
310 Torbett St Richland WA 99354-2604 |
| Practice Telephone | 5099467646 |
| Practice Fax Number | 5099467666 |
| Mailing Telephone | 5099467646 |
| Mailing Fax Number | 5099467666 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60315601 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558343061 | Travis B Henderson | Internal Medicine | 1309 10th Ave W, Mobridge, SD 57601-1146 | 2005-11-18 |
| 1316439524 | Travis Martin Henderson | Social Worker | 780 Albany St, Boston, MA 02118-2755 | 2018-06-04 |
| 1801326525 | Travis Brett Henderson | Behavioral Analyst | 6416 Nw 5th Way, Fort Lauderdale, FL 33309 | 2017-06-14 |
| 1093258386 | Travis Henderson | Registered Nurse | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2016-11-18 |
| 1154872588 | Travis Henderson | Chiropractor | 107 S Main St, Baxter, IA 50028 | 2016-10-20 |
| 1932527504 | Travis Henderson | Counselor | 1496 N Beale Rd, Marysville, CA 95901-6205 | 2014-04-01 |
| 1679539381 | Travis T Henderson | Radiology | 1135 Carthage St, Central Carolina Radiology, Sanford, NC 27330-4162 | 2006-04-21 |
| Street Address |
310 TORBETT ST |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285692285 | Barbara K Mallory | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-05-02 |
| 1285076810 | Elise Sinnwell | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-07-24 |
| 1184833063 | Diane M De Ste Croix | Massage Therapist | 310 Torbett St, Richland, WA 99354-2604 | 2007-05-21 |
| 1134283153 | Charles L Nelson | Family Medicine | 310 Torbett St, Richland, WA 99354-2604 | 2006-12-21 |
| 1225113186 | Chaunce Ruff | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-26 |
| 1588748701 | Paul Francis Maiocco | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-24 |
| 1093802373 | Patricia Hernandez | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-06 |
| 1851485189 | Sherilyn J Cook | Family Medicine | 310 Torbett St, Richland, WA 99354-2604 | 2006-10-03 |
| 1821002510 | Physicians Immediate Care and Medical Centers, Inc Ps | Family Medicine | 310 Torbett St, Richland, WA 99354-2604 | 2006-07-28 |
| 1922037415 | Teressa Lang | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962798991 | Heather M Potter | Physician Assistant | 945 Goethals Dr. Ste 310, Richland, WA 99352 | 2011-06-28 |
| 1467636456 | Billie Jean Knight | Physician Assistant | 943 Stevens Dr., Richland, WA 99352 | 2007-12-26 |
| 1285692285 | Barbara K Mallory | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2006-05-02 |
| 1356322093 | James Arthur Davidson | Physician Assistant | 1979 Snyder St, Ste 150, Richland, WA 99354-5319 | 2005-11-09 |
| 1336138841 | Jacqueline J Burkes | Physician Assistant | 220 Alston St, Richland, GA 31825-1404 | 2005-10-18 |
| 1629521349 | Matthew John Concienne | Physician Assistant | 888 Swift Blvd, Richland, WA 99352-3514 | 2016-07-29 |
| 1275920597 | Patricia Neuman | Physician Assistant | 1516 Jadwin Ave, Richland, WA 99354-2902 | 2015-04-24 |
| 1164837126 | Nicholas Manke | Physician Assistant | 1100 Goethals Dr, Richland, WA 99352-3300 | 2014-06-27 |
| 1285076810 | Elise Sinnwell | Physician Assistant | 310 Torbett St, Richland, WA 99354-2604 | 2013-07-24 |
| 1518250554 | Timothy Robert Nickolaus | Physician Assistant | 875 Swift Blvd, Richland, WA 99352-3592 | 2011-05-24 |
| Find all providers in RICHLAND | ||||
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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.