MARY KAY HENDERSON (NPI# 1891079257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891079257 |
| Entity Type | Individual |
| Full Name | MARY KAY HENDERSON |
| Credential | NP-C |
| Practice Address |
522 N Hancock St Ottumwa IA 52501-4231 |
| Practice Telephone | 6416830800 |
| Practice Fax Number | 6416830801 |
| Mailing Telephone | 6416830800 |
| Mailing Fax Number | 6416830801 |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2018-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A060874 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699326843 | Mary Ann Henderson | Technician | 339 Mason Blvd, Jackson, MS 39212-5151 | 2019-09-27 |
| 1801379599 | Mary Pullias Henderson | Nurse Practitioner | 2788 Murfreesboro Road, Antioch, TN 37013-2004 | 2018-09-10 |
| 1063935773 | Mary Kathryn Henderson | Speech-Language Pathologist | 1400 Griffin Mill Road, Easley, SC 29640 | 2017-07-25 |
| 1467832485 | Mary Ellen Henderson | Registered Nurse | 1038 Davis Rd, West Falls, NY 14170-9781 | 2015-06-04 |
| 1003305798 | Mary Henderson | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-05-08 |
| 1225547508 | Mary Kathleen Henderson | Counselor | 393 Main St, Danville, NH 03819-3219 | 2017-09-29 |
| 1285181776 | Mary May Henderson | Nurse Practitioner | 10701 W Research Dr, Wauwatosa, WI 53226-3452 | 2016-09-01 |
| 1538517149 | Mary Henderson | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2016-05-25 |
| 1548616535 | Mary K Henderson | Social Worker | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2016-05-09 |
| 1013391762 | Mary Henderson | Nurse Practitioner | 447 Mcalister Rd, Ste 2400, Lincolnton, NC 28092-4114 | 2015-07-13 |
| Street Address |
522 N HANCOCK ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770569717 | Robert J Blommer | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2005-12-21 |
| 1093360679 | Mercy Medical Center-centerville | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2019-08-09 |
| 1043739279 | Paige Erin Caves | Physical Medicine & Rehabilitation | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2017-09-19 |
| 1548784671 | Sierra Dovico | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2017-07-31 |
| 1053778209 | Ashley Bland | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2016-01-19 |
| 1891126975 | Heather E Easton | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2013-11-27 |
| 1023456241 | Mercy Clinics, Inc | Internal Medicine | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2013-06-10 |
| 1013286020 | Kimberly Joan Brown | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2011-12-20 |
| 1528354974 | Chad M Kelley | Physical Therapist | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2011-06-23 |
| 1134443849 | Deborah L Stephenson | Nurse Practitioner | 522 N Hancock St, Ottumwa, IA 52501-4231 | 2010-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780968 | Jacy L Kennedy | Nurse Practitioner | 1207 N Jefferson St Ste 1, Ottumwa, IA 52501-2021 | 2019-06-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1508305541 | Laura Medanic | Nurse Practitioner | 1013 Pennsylvania Ave # A-c, Ottumwa, IA 52501-2110 | 2017-02-22 |
| 1265051239 | Stephanie Merrill | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-04-10 |
| 1659904399 | Natasha Ann Myers | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-02-21 |
| 1831738871 | Tracy Lynn Clawson | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-12-21 |
| 1407415128 | Sondra Philips | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-06-06 |
| 1043796469 | Jayci Michelle Beamer | Nurse Practitioner | 1009 Pennsylvania Ave, Ottumwa, IA 52501-2108 | 2018-07-18 |
| 1447752464 | Peggy Sue Swank | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-03-06 |
| 1073038220 | Jamie Lee Hyde | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-08-09 |
| Find all providers in OTTUMWA | ||||
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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.