LAURA K. HENTHORN (NPI# 1740276591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740276591 |
| Entity Type | Individual |
| Full Name | LAURA K. HENTHORN |
| Credential | FNP |
| Practice Address |
3370 S Texas Ave Suite B Bryan TX 77802-3127 |
| Mailing Address |
1500 University Dr E #100 College Station TX 77840-2600 |
| Practice Telephone | 9795951700 |
| Practice Fax Number | 9795951740 |
| Mailing Telephone | 9793832340 |
| Mailing Fax Number | 9792609390 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
616612 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP110479 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TAX ID | 741715140 | 01 |
| TX | NPI CLINIC B | 1649265646 | 01 |
| TX | 154467801 | 05 | |
| TX | NPI AGENCY | 1821185299 | 01 |
| Street Address |
3370 S TEXAS AVE SUITE B |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265646 | Brazos Valley Community Action Agency, Inc. | Clinic/Center | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2005-09-15 |
| 1437501210 | Yolanda Sahagun | Nurse Practitioner | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2016-07-06 |
| 1720442189 | Shelley White-corey | Nurse Practitioner | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2016-04-11 |
| 1902161987 | Daniel F Brossart | Psychologist | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2012-07-06 |
| 1386832095 | Deborah Awoniyi-obrimah | Nurse Practitioner | 3370 S Texas Ave, Suite G, Bryan, TX 77802-3127 | 2007-10-09 |
| 1942342688 | Donna M. Hilbig | Counselor | 3370 S Texas Ave, #b, Bryan, TX 77802 | 2007-02-12 |
| 1154475473 | Sonia Lee Turnbow | Nurse Practitioner | 3370 S Texas Ave, Suite G, Bryan, TX 77802-3127 | 2007-01-23 |
| 1487707923 | Brazos Maternal and Child Health Clinic, Inc. | Voluntary or Charitable | 3370 S Texas Ave, Ste G, Bryan, TX 77802-3127 | 2007-01-19 |
| 1912056730 | Brazos Valley Community Action Agency Inc | Pharmacy | 3370 S Texas Ave, Bryan, TX 77802-3127 | 2007-01-10 |
| 1952486276 | Judy Jean Smith | Nurse Practitioner | 3370 S Texas Ave, Suite B, Bryan, TX 77802-3127 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256894 | Shannon Kelsey | Nurse Practitioner | 1600 Joseph Dr, Bryan, TX 77802-1502 | 2014-09-04 |
| 1922410687 | Stephanie Nicole Allen | Nurse Practitioner | 1104 Wesley Ave, Bryan, OH 43506-2579 | 2014-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
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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.