KATHRYN HENDERSON (NPI# 1780839985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780839985 |
| Entity Type | Individual |
| Full Name | KATHRYN HENDERSON |
| Credential | FNP |
| Practice Address |
210 E Trade St Ste E186 Minuteclinic Diagnostic of North Carolina Charlotte NC 28202-2355 |
| Mailing Address |
210 E Trade St Suite E-186 Charlotte NC 28202-2404 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4016529787 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5004179 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506791 | Kathryn Fraboni Henderson | Occupational Therapist | 323 Riverland Dr Apt 2, Charleston, SC 29412-2587 | 2020-10-22 |
| 1245718931 | Kathryn Kay Henderson | Chiropractor | 10 Dancer Ct, Monroe, NJ 08831-8001 | 2018-08-03 |
| 1811411416 | Kathryn Henderson | Hearing Instrument Specialist | 330 Camden Cswy Ste C, Elizabeth City, NC 27909-6811 | 2017-07-26 |
| 1700901121 | Kathryn Cheezem Henderson | Social Worker | 1104 Lombardy St, Marion, SC 29571-2005 | 2007-03-21 |
| 1649321613 | Kathryn Stogner Henderson | Physical Therapist | 204 S Ih35 Suite 203, Georgetown Physical Therapy, Georgetown, NC 78628 | 2007-01-16 |
| 1215575659 | Kathryn Ann Henderson | Behavior Technician | 4906 Cutshaw Ave, Richmond, VA 23230-3630 | 2019-12-17 |
| 1861737694 | Kathryn Grace Crisman Henderson | Counselor | 6100 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188-2442 | 2012-12-05 |
| 1962630434 | Kathryn R Henderson | Internal Medicine | 5034 Griffin Rd, Saint Louis, MO 63128-3418 | 2009-06-23 |
| 1467592329 | Kathryn Elizabeth Henderson | Counselor | 71 East Ave, Suite T, Norwalk, CT 06851-4903 | 2007-02-07 |
| 1710949417 | Kathryn Ann Henderson | Emergency Medicine | 19 Myrtle St, Medford, OR 97504-7337 | 2006-04-06 |
| Street Address |
210 E TRADE ST STE E186 MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437262383 | Kirsta L Norwood | Physician Assistant | 210 E Trade St Ste E186, Charlotte, NC 28202-2355 | 2006-08-16 |
| 1629682323 | Jeremy Beane | Nurse Practitioner | 210 E Trade St Ste E186, Charlotte, NC 28202-2355 | 2020-09-01 |
| 1760832497 | Brittany Pearson Mcelheny | Nurse Practitioner | 210 E Trade St Ste E186, Charlotte, NC 28202-2355 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
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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.