KENNETH HENDERSON


Address: 2635 N 7th St, Grand Junction, CO 81501-8209
Phone: 9702982279

KENNETH HENDERSON (NPI# 1770136988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770136988
Entity Type Individual
Full Name KENNETH HENDERSON
Credential MSN, APRN, NNP-BC
Practice Address 2635 N 7th St
Grand Junction
CO 81501-8209
Practice Telephone 9702982279
Mailing Telephone 9702982279
Mailing Fax Number 9702982222
Enumeration Date 2019-07-17
Last Update Date 2019-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
APN.0994788-NP CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 14476351 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2635 N 7th St, Grand Junction, CO 815018209 9702982279 9702982222

Other Providers KENNETH HENDERSON

NPI Name Taxonomy Address Enumeration
1023046497 Kenneth J Henderson Specialist/Technologist 245 Ne 30 Rd, Great Bend, KS 67530-9251 2006-06-28
1740596592 Kenneth Roberto Henderson Pharmacy Technician 10375 Richmond Ave, #1575, Houston, TX 77042-4143 2010-08-30
1295914042 Kenneth Mango Henderson Dentist 8608 Preston Rd, Suite 112, Plano, TX 75024-3316 2007-10-29
1568674521 Kenneth Reed Henderson Optometrist 2222 James St Ste A, Bellingham, WA 98225-4152 2007-05-04

Office Location

Street Address 2635 N 7TH ST
City GRAND JUNCTION
State CO
Zip Code 81501-8209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104822469 Karlene Ann Lambuth Nurse Practitioner 2635 N 7th St, Grand Junction, CO 81501-8209 2005-06-22
1730786971 Scl Health Medical Group - Grand Junction, LLC Surgery 2635 N 7th St, Grand Junction, CO 81501-8209 2020-10-01
1588270912 Steven Perry Pharmacist 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-21
1851907463 Healthone Clinic Services - Pediatric Specialties LLC Pediatrics 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-18
1437764222 Scl Health Medical Group - Grand Junction, LLC Pediatrics 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-09
1417562216 Scl Health Medical Group - Grand Junction, LLC Surgery 2635 N 7th St, Grand Junction, CO 81501-8209 2020-09-09
1104430974 Scl Health Medical Group - Grand Junction, LLC Internal Medicine 2635 N 7th St, Entrance 4, Grand Junction, CO 81501-8209 2020-08-31
1790309912 Obstetrix Medical Group of Colorado, P.C. Pediatrics 2635 N 7th St, Grand Junction, CO 81501-8209 2020-06-03
1932733664 Bonnie Shaffer Clinical Nurse Specialist 2635 N 7th St, Grand Junction, CO 81501-8209 2020-03-03
1164060877 St Mary's Hospital and Medical Center, Inc Ambulance 2635 N 7th St, Grand Junction, CO 81501-8209 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700430261 Brianne Tanae Harper Physician Assistant 2530 N 8th St Suite 205, Grand Junction, CO 81501 2019-08-01
1497318059 Shellen H Pinnt Counselor 660 White Avene, Grand Junction, CO 81501 2019-04-19
1477011658 Gaylene Ludwig Counselor 622 Rood Ave, Grand Junction, CO 81501 2019-03-07
1639676158 Chris De Bruin Counselor Grand Junction Metro Treatment Center, 1001 Wellington Ave, Grand Junction, CO 81501 2018-04-11
1568971125 Michael Sprague Counselor 1001 Wellington Avenue, Grand Junction, CO 81501 2017-09-27
1609393560 Karin Vandervelde Midwife 2241 7th Street, Bloomin' Babies Birth Center, Grand Junction, CO 81501 2017-08-23
1225550361 Critical Nurse Staffing, LLC Home Health 1114 N 1st St, Suite 200, Grand Junction, CO 81501 2017-07-11
1003344094 Mac Aarron Fish Counselor 622 Rood Ave Ste C, Grand Junction, CO 81501 2017-06-02
1467994566 A New Life Counseling, Inc Counselor 623 North 8th St, Grand Junction, CO 81501 2016-11-07
1801342597 Paragon Restoration & Building, Inc. Contractor 205 S. 15th St., Grand Junction, CO 81501 2016-09-01
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447355862 Valerie A Helfrich Nurse Practitioner 2635 N 7th St, Grand Junction, CO 81501-8209 2006-09-13
1518916899 Karen Parker Hatfield Nurse Practitioner 2635 N 7th St, Grand Junction, CO 81501-8209 2006-05-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427299957 Tamela Jean Boulter Nurse Practitioner 1480 Lone Scout Lookout, Monument, CO 80132-8036 2009-03-12
1902078769 Karen Lynn St. Louis Nurse Practitioner 777 Bannock St., Denver, CO 80204 2008-04-01
1053582551 Linda D Mccarney Nurse Practitioner 13123 E 16th Ave # B-535, Aurora, CO 80045-7106 2008-03-12
1225241904 Rosemary Danaher Nurse Practitioner 7700 South Broadway, Littleton Adventist Hospital, Littleton, CO 80122 2007-05-08
1194774679 Carol Lynnette Beck Nurse Practitioner 725 E Girard Ave, Englewood, CO 80113-2761 2006-05-10
1780292045 Jorge Luis Serna Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-22
1013534288 Katy Lynn Fangmeier Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-02
1750936928 Rachael Elizabeth Zumstein Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2019-08-05
1770144453 Grant A Covey Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2019-06-24
1215495056 Sarah J Hamilton Nurse Practitioner 777 Bannock St, Denver, CO 80204-4507 2019-03-12
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Competitor

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City GRAND JUNCTION
Zip Code 81501

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Dataset Information

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.

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