LISA HENDERSON


Address: 5 Perryridge Rd, Greenwich, CT 06830-4608
Phone: 2038633000

LISA HENDERSON (NPI# 1801076039) 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) 1801076039
Entity Type Individual
Full Name LISA HENDERSON
Credential APRN
Practice Address 5 Perryridge Rd
Greenwich
CT 06830-4608
Practice Telephone 2038633000
Practice Fax Number 2038634520
Mailing Telephone 2038633000
Mailing Fax Number 2038634520
Enumeration Date 2007-11-05
Last Update Date 2007-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
003209 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT APRN 003209 01
CT RN 075252 01

Other Providers LISA HENDERSON

NPI Name Taxonomy Address Enumeration
1790317154 Lisa Henderson Behavior Technician 31 Beaver Run Dr, Savannah, GA 31419-9528 2020-02-04
1912419243 Lisa Renee Henderson Nurse Practitioner 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 2017-10-26
1912424243 Lisa Yvette Henderson Nurse Practitioner Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 2017-08-28
1053865675 Lisa Ann Henderson Physical Therapist 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 2016-08-11
1396135836 Lisa Henderson Nurse Practitioner 214 Blue Stem Drive, New Hope, PA 18938 2015-02-04
1346681327 Lisa Henderson Registered Nurse 52 E Oak St, West Alexandria, OH 45381-1273 2013-07-08
1336378751 Lisa Marie Henderson Speech-Language Pathologist 215 Covered Bridge Rd, Oneonta, NY 13820-4211 2009-07-07
1497999643 Lisa Reshae Henderson Nurse Practitioner 814 N John Young Pkwy, Kissimmee, FL 34741-4912 2009-04-30
1922145432 Lisa Danielle Henderson Counselor 331 54th Ave N, Nashville, TN 37209-3317 2007-01-31
1831710359 Lisa Ann Henderson Counselor 2151 College Ave, Bakersfield, CA 93305-4113 2020-05-06

Office Location

Street Address 5 PERRYRIDGE RD
City GREENWICH
State CT
Zip Code 06830-4608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740280411 Joseph Francis Andrews Jr. Internal Medicine 5 Perryridge Rd, Greenwich, CT 06830-4608 2005-07-26
1942825799 Greenwich Hospital Internal Medicine 5 Perryridge Rd, Greenwich, CT 06830-4608 2020-06-08
1013536218 June Evelyn Jeon Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4697 2020-04-09
1972122166 Daniel Robert Dickstein Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4697 2020-04-08
1417586611 Tushaar Vishal Shrimanker Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4608 2020-04-08
1629607817 Kasandra Erazo Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4608 2020-04-08
1578192126 Umar Nasser Hasan Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4608 2020-04-06
1326676883 Zachary Paul Retalis Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4697 2020-03-31
1013545565 Fatema Shabbir Esaa Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4608 2020-03-31
1952939670 Caroline Pham Student in an Organized Health Care Education/Training Program 5 Perryridge Rd, Greenwich, CT 06830-4697 2020-03-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992303341 Cristina Castagna Physical Therapist 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 2020-10-16
1194334334 Cognitive and Behavioral Care Center, LLC Counselor 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 2020-07-23
1245866433 Barbara Edeson Roth Speech-Language Pathologist The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 2020-03-19
1750938932 Evelyn Ramos Licensed Practical Nurse 111 Wilbur Peck Ct, Greenwich, CT 06830 2019-08-21
1134773674 Alexandra Blair Conway Psychologist 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 2019-08-01
1821560871 Brionna Emily Lyles Licensed Practical Nurse 111 Wilbur Court, Greenwich, CT 06830 2018-12-31
1568959815 Backcountry Wellness Inc. Social Worker 7 Lincoln Avenue, Greenwich, CT 06830 2018-04-21
1316455876 Hillary Rea Bercovici Counselor 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 2018-01-18
1689181083 Coastal Eye Surgeons LLC Ophthalmology 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 2018-01-07
1952853814 Tina M. Crystal Psychologist 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 2016-10-26
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164602389 Angela Tornatore Nurse Practitioner 5 Perryridge Rd, Greenwich, CT 06830-4608 2007-11-05
1477733608 Yekaterina Snelwar Nurse Practitioner 5 Perryridge Rd, Greenwich, CT 06830-4608 2007-11-05
1346429602 Jackie Simpson-dunne Nurse Practitioner 5 Perryridge Rd, Greenwich, CT 06830-4608 2007-11-02
1568507556 Susan Finley Welch Nurse Practitioner 5 Perryridge Rd, Greenwich, CT 06830-4608 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447878855 Ashley Elusma Nurse Practitioner 92 New London Tpke # 1, Norwich, CT 06360-2616 2020-07-13
1396382792 Jessca Morcone Nurse Practitioner 640 Brookside Dr, Fairfield, CT 06824-2419 2019-12-04
1790337137 Elizabeth R Renker Nurse Practitioner 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 2019-07-16
1508347162 Bright Futures Wellness Center, LLC Nurse Practitioner 422-426 Highland Avenue, Cheshire, CT 06410 2018-08-22
1487180840 Meghan Mccarthy Warzoha Nurse Practitioner 2001 W Main St Ste 132, Stamford, CT 06902-4544 2017-05-04
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
1083020051 Douglas Mccoy Nurse Practitioner 46 Albion St., Bridgeport, CT 06605 2014-07-10
1740602515 Smart Start Pediatrics Nurse Practitioner 27 Sycamore St., Suite 300, Glastonbury, CT 06033 2014-01-14
1780013102 Elizabeth Anavy Nurse Practitioner 195 Hillandale Ave, Stamford, CT 06902-2823 2013-11-06
1174951669 Bela Kirit Dharia Nurse Practitioner 55 Lock Street, Yale Health, New Haven, CT 06511-3603 2013-10-22
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Competitor

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City GREENWICH
Zip Code 06830

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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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