NANINE S HENDERSON DO


Address: 4010 Dupont Cir, Suite 200, Louisville, KY 40207-4812
Phone: 5028935422

NANINE S HENDERSON DO (NPI# 1821254145) 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) 1821254145
Entity Type Organization
Organization Name NANINE S HENDERSON DO
Other Organization Name NANINE S HENDERSON DO
Practice Address 4010 Dupont Cir
Suite 200
Louisville
KY 40207-4812
Practice Telephone 5028935422
Practice Fax Number 5028964962
Mailing Telephone 5028935422
Mailing Fax Number 5028964962
Enumeration Date 2008-08-06
Last Update Date 2008-08-06
Authorized Official Name NANINE SCOT HENDERSON (PHYSICIAN)
Authorized Official Telephone 5028935422
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
nanine s henderson do Former Legal Business Name - Organization

Office Location

Street Address 4010 DUPONT CIR
SUITE 200
City LOUISVILLE
State KY
Zip Code 40207-4812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659374452 Frederick Ray Swain Dentist 4010 Dupont Cir, Ste 529, Louisville, KY 40207-4888 2005-05-24
1013402973 Deshara C Doub Social Worker 4010 Dupont Cir, Louisville, KY 40207-4812 2018-06-24
1285145235 Sandra Kay Decker Nurse Practitioner 4010 Dupont Cir, Ste 226, Louisville, KY 40207-4847 2017-10-17
1750830733 Rebecca J Miller Counselor 4010 Dupont Cir, 582, Louisville, KY 40207-4812 2016-10-01
1649631706 Nicole Elise Robinson Marriage & Family Therapist 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 2016-03-16
1962861559 Regina Denice Shelton Counselor 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 2016-02-11
1679931570 Michelle Fleming Social Worker 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 2016-02-05
1275999245 Leeann Pettis Strobel Counselor 4010 Dupont Cir, Suite 226, Louisville, KY 40207-4812 2016-01-06
1295109551 Ariel Dew Counselor 4010 Dupont Cir, Louisville, KY 40207-4812 2015-11-23
1346614849 Amy Halvorson Social Worker 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 2015-11-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780212688 Alexia Louise Bodamer Student in an Organized Health Care Education/Training Program 142 Chenoweth Lane, Lousiville, KY 40207 2020-03-28
1467918664 Amy Rock LLC Counselor 4010 Dupont Cir Ste 307, Louisville, KY 40207 2019-02-13
1649745191 Louisville Optometric Center, IIi, Psc Optometrist 285 Hubbards Lane, Suite 300, Louisville, KY 40207 2018-10-11
1184137440 Crimson Dove Counseling Services Inc Community/Behavioral Health 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 2017-11-09
1285157586 Dickerson Family Enterprise, LLC Non-emergency Medical Transport (VAN) 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 2017-07-19
1578085296 Cardiovascular Medical Specialists LLC Surgery 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 2017-07-14
1932636305 Devon Turley Prevention Professional 1017 Dupont Rd, Suite 1, Louisville, KY 40207 2017-05-17
1285095539 Emily Schwartz Crouch Marriage & Family Therapist 4010 Dupont Circle, Suite 582, Louisville, KY 40207 2016-03-15
1306201280 A A and Associates Approved Alcohol/drug Program Counselor 4006 Dutchmans Lane, Louisville, KY 40207 2015-12-21
1629433693 Jewish Hospital and St. Mary's Healthcare, Inc. General Acute Care Hospital 3290 Dutchmans Lane, Louisville, KY 40207 2015-12-17
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891294336 Nanncoh LLC Family Medicine 700 Envoy Cir Ste 702, Louisville, KY 40299-1812 2018-02-11
1922496223 Hope Recovery Center Family Medicine 9300 Shelbyville Rd Ste 506, Louisville, KY 40222-5164 2015-01-08
1629317391 Burns Mack Brady Family Medicine 1017 W. Market St., Louisville, KY 40202 2013-01-31
1831683879 Bluegrass Behavioral Health Psc Family Medicine 1939 Goldsmith Ln Ste 117, Louisville, KY 40218-3176 2018-06-21
1376617183 Nanine S Henderson Family Medicine 4010 Dupont Cir, Louisville, KY 40207 2006-11-20
1619932084 Richard H Cales Family Medicine 5722 Outer Loop, Louisville, KY 40219-4156 2006-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104431543 Stephanie Caudill Family Medicine 1145 W Lexington Ave Ste C, Winchester, KY 40391-1290 2020-09-12
1083231682 Cherawen Group Family Medicine 4060 Troy Pike, Versailles, KY 40383-8924 2020-06-30
1295357531 Unbound Treatment, Inc. Family Medicine 67 Harbor Dr, Jamestown, KY 42629-8036 2020-05-09
1942667456 Crossroads Addiction Recovery Effort, LLC Family Medicine 484 Tollage Crk, Pikeville, KY 41501 2016-01-28
1548533482 Laurel County Sobriety Center Pllc Family Medicine 1658 East 192 Bypass, London, KY 40741 2012-02-22
1558328179 Paul Wilson Craig II Family Medicine 6500 Highway 645, Suite 110, Inez, KY 41224 2006-04-27
1407856057 Anthony Wade Alvarez Family Medicine 820 Dolwick Dr, Erlanger, KY 41018-2774 2005-07-26
1902425515 Commonhealth LLC Family Medicine 1604 Louisville Rd, Frankfort, KY 40601-3919 2020-04-14
1598226045 Joshua Adam Mullins Family Medicine 911 Bypass Rd, Pikeville, KY 41501-1689 2019-03-27
1467918201 Hartoria Health Services LLC Family Medicine 3150 Custer Dr Ste 101, Lexington, KY 40517-4010 2019-02-18
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Competitor

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City LOUISVILLE
Zip Code 40207

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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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