KENNETH HENDERSON (NPI# 1770136988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 14476351 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2635 N 7th St, Grand Junction, CO 815018209 | 9702982279 | 9702982222 |
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 |
Street Address |
2635 N 7TH ST |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81501-8209 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 81501 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | GRAND JUNCTION |
Zip Code | 81501 |
Please comment or provide details below to improve the information on KENNETH HENDERSON.
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.