MRS. RUBY CAROL HENDERSON (NPI# 1871893610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871893610 |
| Entity Type | Individual |
| Full Name | MRS. RUBY CAROL HENDERSON |
| Credential | LPN |
| Practice Address |
167 North Main St. Tuba City AZ 86045 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Mailing Telephone | 9282833501 |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LP030925 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241557 | Ruby Larna Henderson | Advanced Practice Midwife | 550 Peachtree Street Ne, Suite 1275, Atlanta, GA 30308 | 2005-11-07 |
| Street Address |
167 NORTH MAIN ST. |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467572685 | Susan Elizabeth Ireland | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2007-03-30 |
| 1235626177 | Harry Le | Pharmacist | 167 North Main St., Tuba City, AZ 86045 | 2018-04-17 |
| 1841798220 | Davida Eppes | Pharmacist | 167 North Main St., Tuba City, AZ 86045 | 2018-01-31 |
| 1003185000 | Monica Lynn Preston | Nurse's Aide | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-12-20 |
| 1720356926 | Tiffany George | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-12-02 |
| 1619257805 | Mildred Garcia | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2011-08-19 |
| 1083904205 | Alyson Lawson | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2011-04-08 |
| 1659672095 | Jeremy Michael Dubinsky | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2010-11-16 |
| 1568763902 | Laura Faye Gould | Registered Nurse | 167 North Main St., Tuba City, AZ 86045 | 2010-11-16 |
| 1598066953 | Sharon Burkhart Davis | Registered Nurse | 167 North Main St., Tuba City, AZ 86045-0600 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124402615 | Scott Radmann | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2015-07-14 |
| 1821408691 | Loretta M Carpenter | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2014-05-02 |
| 1710235759 | Terilyn Melinda Nez | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2012-08-23 |
| 1962704171 | Rena Keams | Licensed Practical Nurse | 167 N Main St, Tuba City, AZ 86045-0600 | 2010-11-19 |
| 1770884611 | Regina Sumner | Licensed Practical Nurse | 167 North Main, Tuba City, AZ 86045 | 2010-11-09 |
| 1184924433 | Justina J Greyhat | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-11-02 |
| 1629378377 | Marietta Scott Coin | Licensed Practical Nurse | 167 North Main St, Tuba City, AZ 86045 | 2010-10-28 |
| 1346550183 | Melissa Sandra Nez | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-10-14 |
| 1184938557 | Auriah G Blackmountain | Licensed Practical Nurse | 167 N Main St, Tuba City, AZ 86045-0600 | 2010-07-28 |
| 1609108984 | Cynthia Kay White | Licensed Practical Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2010-02-11 |
| Find all providers in TUBA CITY | ||||
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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.