MRS. LISA RENEE HENDERSON (NPI# 1912419243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912419243 |
| Entity Type | Individual |
| Full Name | MRS. LISA RENEE HENDERSON |
| Credential | AGNP-C |
| Practice Address |
415 Sixth St. Cardiology Department Lewiston ID 83501-4255 |
| Mailing Address |
415 6th St Lewiston ID 83501-2431 |
| Practice Telephone | 2087507507 |
| Practice Fax Number | 2087507384 |
| Mailing Telephone | 2087507445 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 57109 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1912424243 | Lisa Yvette Henderson | Nurse Practitioner | Va Black Hills Health Care System, 113 Comanche Rd, Fort Meade, SD 57741 | 2017-08-28 |
| 1053865675 | Lisa Ann Henderson | Physical Therapist | 2655 Villa Creek Dr Ste 140, Dallas, TX 75234-7385 | 2016-08-11 |
| 1396135836 | Lisa Henderson | Nurse Practitioner | 214 Blue Stem Drive, New Hope, PA 18938 | 2015-02-04 |
| 1346681327 | Lisa Henderson | Registered Nurse | 52 E Oak St, West Alexandria, OH 45381-1273 | 2013-07-08 |
| 1336378751 | Lisa Marie Henderson | Speech-Language Pathologist | 215 Covered Bridge Rd, Oneonta, NY 13820-4211 | 2009-07-07 |
| 1497999643 | Lisa Reshae Henderson | Nurse Practitioner | 814 N John Young Pkwy, Kissimmee, FL 34741-4912 | 2009-04-30 |
| 1922145432 | Lisa Danielle Henderson | Counselor | 331 54th Ave N, Nashville, TN 37209-3317 | 2007-01-31 |
| 1831710359 | Lisa Ann Henderson | Counselor | 2151 College Ave, Bakersfield, CA 93305-4113 | 2020-05-06 |
| 1679092183 | Lisa Henderson | Dietitian, Registered | 3925 159th Ave Ne, Redmond, WA 98052-6309 | 2017-09-15 |
| Street Address |
415 SIXTH ST. CARDIOLOGY DEPARTMENT |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-4255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1093363947 | Victoria Friedman | Nurse Practitioner | 60 High St Ste Y1, Lewiston, ME 04240-7616 | 2019-09-03 |
| 1588156111 | Kathryn Landry | Nurse Practitioner | 77 Bates St Ste 302, Lewiston, ME 04240-7637 | 2018-05-30 |
| 1861741159 | Beverly Alane Kloepfer | Nurse Practitioner | 4087 Fairway Dr, Lewiston, ID 83501-9687 | 2012-09-03 |
| 1255629267 | Todd M Carpenter | Nurse Practitioner | 2315 8th Street, Lewiston, ID 83501-7303 | 2011-07-12 |
| 1245405158 | Sean Patrick Hailey | Nurse Practitioner | 5290 Military Road Suite 10 A & B, Lewiston, NY 14092-1953 | 2008-04-23 |
| 1366575284 | Rosanne S Marquis | Nurse Practitioner | 77 Bates Street, Suite 102, Lewiston, ME 04240 | 2007-03-13 |
| 1356422562 | Linda K Dewitt | Nurse Practitioner | 2517 17th St Ste B, Lewiston, ID 83501-6311 | 2006-10-17 |
| 1689766834 | Cheryl A Loetscher | Nurse Practitioner | 1522 17th Street, Lewiston, ID 83501 | 2006-09-28 |
| 1467406975 | Janet L Collar | Nurse Practitioner | 2315 8th St Grade, Lewiston, ID 83501-7301 | 2006-05-20 |
| Find all providers in LEWISTON | ||||
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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.