MRS. KATHI LEE HENDERSON (NPI# 1780913129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780913129 |
| Entity Type | Individual |
| Full Name | MRS. KATHI LEE HENDERSON |
| Credential | ARNP |
| Practice Address |
1513 N Randall Ave Elk City OK 73644 |
| Mailing Address |
1513 N Randall Ave Elk City OK 73644-1407 |
| Practice Telephone | 5802254466 |
| Practice Fax Number | 5802252417 |
| Mailing Telephone | 5802254466 |
| Mailing Fax Number | 5802252417 |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
20091470 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053834101 | Kathi Nanette Henderson | Marriage & Family Therapist | 4545 N West Ave, Fresno, CA 93705-0946 | 2017-07-20 |
| Street Address |
1513 N RANDALL AVE |
| City | ELK CITY |
| State | OK |
| Zip Code | 73644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700259918 | Marco Chavez | Peer Specialist | 2032 W. 7th Place, Elk City, OK 73644 | 2015-11-10 |
| 1932588811 | Erin Marie Sloan | Family Medicine | 1710 W 3rd St Ste 102, Elk City, OK 73644 | 2015-05-25 |
| 1649521568 | Michael Robinson Medical Clinic, LLC | Family Medicine | 1900 W. 2nd St, Suite A, Elk City, OK 73644 | 2012-10-02 |
| 1700018330 | Tiffany Dawn Dupree | Obstetrics & Gynecology | 1800 West 1st, Suite 101, Elk City, OK 73644 | 2009-08-16 |
| 1538331483 | Farrina Steel | Community Health Worker | 3080 W. 3rd Street, Elk City, OK 73644 | 2008-04-01 |
| 1851586622 | Billy Charles Spurlock | Chiropractor | 1521 W 3rd St, Elk City, OK 73644 | 2007-09-13 |
| 1073736096 | Bruce Daniel Storm Jr. | Dentist | 300 N Garrett, Elk City, OK 73644 | 2007-04-10 |
| 1578681698 | Tiffany Shook | Case Manager/Care Coordinator | 306 Maverick Lane, Elk City, OK 73644 | 2007-03-27 |
| 1720152614 | Diversified Family Services Inc | Community/Behavioral Health | 1021 E Hwy 66, Elk City, OK 73644 | 2006-11-20 |
| 1396833083 | David William Bank | Family Medicine | 1221 Colorado, Elk City, OK 73644 | 2006-10-10 |
| Find all providers in zip 73644 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588822472 | Kelle Dawn Gaske | Clinical Nurse Specialist | 1200 N Phillips Ave Ste 4500, Oklahoma City, OK 73104-4600 | 2008-05-28 |
| 1174167779 | Tamara Ellen Mcgowen | Clinical Nurse Specialist | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2019-11-06 |
| 1699933911 | Sharon Weirick | Clinical Nurse Specialist | 1414 Arlington St, Suite 1700, Ada, OK 74820-2643 | 2008-05-23 |
| 1356418321 | Mercy Health Network Inc | Clinical Nurse Specialist | 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 | 2006-11-29 |
| 1164456216 | Cathy A. Gesell | Clinical Nurse Specialist | 1919 E Memorial Rd, Oklahoma City, OK 73131-1253 | 2006-07-11 |
| 1972542132 | Kathryn Ann Perry | Clinical Nurse Specialist | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2006-06-05 |
| 1417900275 | Deborah S Lammert | Clinical Nurse Specialist | 1705 E 19th St, Suite 701, Tulsa, OK 74104-5405 | 2006-05-19 |
Please comment or provide details below to improve the information on MRS. KATHI LEE 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.