MRS. AMY HENDERSON (NPI# 1821499153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821499153 |
| Entity Type | Individual |
| Full Name | MRS. AMY HENDERSON |
| Other Name | AMY RUSKOSKI |
| Credential | RD, MS, LD |
| Practice Address |
10306 N 138th East Ave Suite 204 Owasso OK 74055-4665 |
| Mailing Address |
5662 S 83rd East Ave Tulsa OK 74145-7922 |
| Practice Telephone | 9184010006 |
| Practice Fax Number | 8773804628 |
| Mailing Telephone | 9189025611 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1719 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860556 | Amy Henderson | Physical Therapist | 3919 Carter Rd Ste A, Buford, GA 30518-1628 | 2020-08-04 |
| 1992253066 | Amy Henderson | Registered Nurse | 14131 Midway Rd Ste 260, Addison, TX 75001-3623 | 2016-09-16 |
| 1063854495 | Amy A Henderson | Speech-Language Pathologist | 3 Faggs Manor Ln, Paoli, PA 19301-1905 | 2013-07-26 |
| 1447313598 | Amy Michelle Henderson | Speech-Language Pathologist | 21862 State Highway 59 S, Robertsdale, AL 36567 | 2006-12-19 |
| 1437159886 | Amy Hallal Henderson | General Practice | 2 Silvercrest Dr, Suite 100, New Albany, IN 47150-7800 | 2005-07-28 |
| 1225654429 | Amy M Henderson | Counselor | 3020 Broadmoor Ln, Flower Mound, TX 75022-2703 | 2020-06-23 |
| 1356902183 | Amy Elizabeth Henderson | Speech-Language Pathologist | 103 Rosehill Dr, South Boston, VA 24592-4843 | 2019-06-24 |
| 1801368949 | Amy Joy Henderson | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-12-31 |
| 1861979700 | Amy R Henderson | Physician Assistant | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 | 2018-07-24 |
| 1790239408 | Amy Henderson | Social Worker | 65 S Mario Capecchi Dr, Salt Lake City, UT 84132-0005 | 2016-08-10 |
| Street Address |
10306 N 138TH EAST AVE SUITE 204 |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-4665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104018266 | Sarah Jennette Berry | Dietitian, Registered | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2007-08-13 |
| 1063946168 | Community Counseling of Owasso, LLC | Counselor | 10306 N 138th East Ave, Suite 206, Owasso, OK 74055-4665 | 2017-04-14 |
| 1396284725 | Owasso Behavioral Health | Counselor | 10306 N 138th East Ave, Ste 206, Owasso, OK 74055-4665 | 2017-02-17 |
| 1912398322 | Whalen Therapeutic Center Pllc | Counselor | 10306 N 138th East Ave, Ste. 206, Owasso, OK 74055-4665 | 2015-02-07 |
| 1871930586 | Heidi Leanne Hills | Counselor | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2013-06-04 |
| 1184950222 | Montgomery Individual and Family Therapy, LLC | Community/Behavioral Health | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2009-10-25 |
| 1881842870 | Kimberly S Petty | Counselor | 10306 N 138th East Ave, Suite 206, Owasso, OK 74055-4665 | 2008-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756947 | Malorie Scherf | Dietitian, Registered | 8751 N 97th East Ave Apt 917, Owasso, OK 74055-6887 | 2020-10-07 |
| 1902299639 | Nutrition Specialists of Northeastern Oklahoma | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2015-03-04 |
| 1417349291 | Rachel Benight | Dietitian, Registered | 10318 N 138th East Ave Ste 101, Owasso, OK 74055-4682 | 2015-03-03 |
| 1013294255 | Jessica Tilley | Dietitian, Registered | 8505 N 129th East Ave, Owasso, OK 74055-7168 | 2011-11-15 |
| 1871764126 | Kristy Lynne Beissel | Dietitian, Registered | 15334 E 89th Ct N, Owasso, OK 74055-8508 | 2008-03-14 |
| 1104018266 | Sarah Jennette Berry | Dietitian, Registered | 10306 N 138th East Ave, Owasso, OK 74055-4665 | 2007-08-13 |
| 1528114873 | Beverly Lynn Prentice | Dietitian, Registered | 10105 Bridgewater Cir, Owasso, OK 74055-7727 | 2007-01-26 |
| 1376022400 | Nicole Marie Mccowan | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2018-08-09 |
| 1972014439 | Elizabeth A. Tooley | Dietitian, Registered | 10512 N 110th East Ave, Owasso, OK 74055-6636 | 2017-10-23 |
| 1598205130 | Megan Mcfarland | Dietitian, Registered | 10105 N Bridgewater Cir, Owasso, OK 74055-7727 | 2017-03-01 |
| Find all providers in OWASSO | ||||
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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.