MICHELLE REINA BOSLEY HENDERSON


Address: 2000 S 900 E, Salt Lake City, UT 84105-3208
Phone: 8014647800

MICHELLE REINA BOSLEY HENDERSON (NPI# 1841427978) 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) 1841427978
Entity Type Individual
Full Name MICHELLE REINA BOSLEY HENDERSON
Credential M.D.
Practice Address 2000 S 900 E
Salt Lake City
UT 84105-3208
Mailing Address 1055 S 1200 E
Salt Lake City
UT 84105-1524
Practice Telephone 8014647800
Mailing Telephone 5127056161
Enumeration Date 2009-06-16
Last Update Date 2018-10-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 8303357-1205 UT Allopathic & Osteopathic Physicians
N 208000000X Pediatrics BP10035444 TX Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
DR.0056489 CO Allopathic & Osteopathic Physicians

Other Providers MICHELLE HENDERSON

NPI Name Taxonomy Address Enumeration
1477029015 Michelle Henderson Home Health 100 Court St Se Ste 212, Live Oak, FL 32064-3203 2018-10-22
1083162762 Michelle Henderson Registered Nurse 1175 County Road 459, Heflin, AL 36264-4090 2016-09-12
1710262969 Michelle Marie Henderson Pharmacist 15500 Chenal Parkway, Little Rock, AR 72211 2011-10-19
1285180026 Michelle Odum Henderson Behavioral Analyst 5566 Main St Ste 150, Frisco, TX 75033-3674 2016-08-31
1730580903 Michelle Christine Henderson Counselor 18221 102nd Ave Ne, Bothell, WA 98011-3466 2014-09-08
1316387004 Michelle Finn Henderson Occupational Therapist 3057 Lorna Rd, Suite 220, Birmingham, AL 35216-4514 2013-06-27
1831462696 Michelle P Henderson Student in an Organized Health Care Education/Training Program 1115 W Chestnut St, Brockton, MA 02301-7501 2012-02-09
1417240060 Michelle Lee Henderson Nurse Practitioner 406 N Willow St, Harrison, AR 72601-3517 2011-05-16
1235304841 Michelle Viola Henderson Specialist 29 Chester Pike, Collingdale, PA 19023-2035 2008-04-24
1326233842 Michelle A Henderson Counselor 439 Breeze St, Suite 200, Craig, CO 81625-2650 2007-09-07

Office Location

Street Address 2000 S 900 E
City SALT LAKE CITY
State UT
Zip Code 84105-3208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740232750 Rachel Elizabeth Baar Pediatrics 2000 S 900 E, Salt Lake City, UT 84105-3208 2006-05-17
1528689528 Elizabeth Ashby Specialist/Technologist 2000 S 900 E, Salt Lake City, UT 84105-3208 2020-04-30
1245754878 Rebecca Vaillancourt Swain Nurse Practitioner 2000 S 900 E, Salt Lake City, UT 84105-3208 2017-07-26
1891242541 Madelena H. Pimentel Physician Assistant 2000 S 900 E, Salt Lake City, UT 84105-3208 2016-09-09
1528488111 Haddie Chaney Physical Therapist 2000 S 900 E, Salt Lake City, UT 84105-3208 2014-04-22
1417374323 Robert J Willer Jr. Pediatrics 2000 S 900 E, Salt Lake City, UT 84105-3208 2014-03-28
1184055592 Derek John Storrs Physical Therapist 2000 S 900 E, Salt Lake City, UT 84105-3208 2013-12-11
1033558903 Igor A Areinamo Pediatrics 2000 S 900 E, Salt Lake City, UT 84105-3208 2013-06-24
1093014425 Barbora Dvorakova Nelson Pediatrics 2000 S 900 E, Salt Lake City, UT 84105-3208 2011-03-24
1851617716 Kortni Lynn Unger Pediatrics 2000 S 900 E, Salt Lake City, UT 84105-3208 2010-04-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285106237 Laiyan H Bawadeen Counselor 1425 700 E Suite #102, Salt Lake City, UT 84105 2018-12-31
1639644255 Claire Elizabeth Gray Marriage & Family Therapist 1425 700 East, Salt Lake City, UT 84105 2018-10-10
1083089643 Celisa Packer Social Worker 2020 E Lake St, Salt Lake City, UT 84105 2015-12-08
1083052963 Christina Elizabeth Burton Nurse Practitioner 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 2013-06-12
1649548355 Leland Burt Cowan Surgery 1405 Princeton Ave, Salt Lake City, UT 84105 2011-12-08
1639460355 Sally Cathleen Webster Counselor 1248 Yale Avenue, Salt Lake City, UT 84105 2011-04-28
1912205105 Melissa Wilson Case Manager/Care Coordinator 1522 S 1100 E, Salt Lake City, UT 84105 2011-03-11
1013215789 Tamara Marie Wright Counselor 1996 Lake St, Salt Lake City, UT 84105 2011-03-04
1144527243 Crystal Nicole Garduno Counselor 1522 South 1100 East, Salt Lake City, UT 84105 2011-02-25
1508011180 Keith Elliott Anesthesiology 1552 South 1000 East, Salt Lake City, UT 84105 2008-11-24
Find all providers in zip 84105

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619430303 Hailey N. Baisch Pediatrics 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 2019-04-09
1811415565 Community Health Centers, Inc. Pediatrics 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 2017-09-01
1033566658 Kathryn Eleanor Curry Gradick Pediatrics University of Utah 50 North Medical Drive, Salt Lake City, UT 84132-0001 2016-05-24
1134582935 Bradley Kramer Pediatrics 1140 E 3900 S Ste 360, Salt Lake City, UT 84124-1247 2016-03-30
1831523828 Max Shaw Perelman Pediatrics 515 E 100 S, Suite 200, Salt Lake City, UT 84102-4211 2013-08-26
1780950147 Jonathan Wheatley Schmidt Pediatrics University of Utah 30 N 900 E, Salt Lake City, UT 84132-0001 2012-03-29
1942508619 Charles Elliott Richards Pediatrics 767 Sunrise Ave, Salt Lake City, UT 84103-3735 2011-03-04
1922331479 David Ray Thomas Pediatrics 2795 Casto Ln, Salt Lake City, UT 84117-6304 2009-09-16
1417101882 Scott Szucs Carleton Pediatrics 1225 3rd Ave, Salt Lake City, UT 84103-4338 2008-11-11
1063665032 Jennifer Goldman Luthy Pediatrics University Pediatric Clinic, 50 N Medical Drive, Salt Lake City, UT 84132-0001 2008-11-04
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84105

Improve Information

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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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