LISA YVETTE HENDERSON (NPI# 1912424243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912424243 |
| Entity Type | Individual |
| Full Name | LISA YVETTE HENDERSON |
| Credential | APRN |
| Practice Address |
Va Black Hills Health Care System 113 Comanche Rd Fort Meade SD 57741 |
| Mailing Address |
230 Turkle Ave Haysville KS 67060-1754 |
| Practice Telephone | 6057452000 |
| Mailing Telephone | 3163085768 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 118316 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
118316 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
53-77543-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
53-77543-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 E Hartford Ave, Ponca City, OK 746012018 | 3163085768 | |
| 1300 E 5th Ave, Winfield, KS 671562407 | 6202212300 | |
| Corizon, 17, El Dorado, KS 670426704 | 3163085768 | |
| Corizon, 500 Reformatory Road, Hutchinson, KS 67501 | 3163085768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317154 | Lisa Henderson | Behavior Technician | 31 Beaver Run Dr, Savannah, GA 31419-9528 | 2020-02-04 |
| 1912419243 | Lisa Renee Henderson | Nurse Practitioner | 415 Sixth St., Cardiology Department, Lewiston, ID 83501-4255 | 2017-10-26 |
| 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 |
VA BLACK HILLS HEALTH CARE SYSTEM 113 COMANCHE RD |
| City | FORT MEADE |
| State | SD |
| Zip Code | 57741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588754626 | Rama K.t Varma | Urology | Veterans Administration Medical Center - Fort Meade, 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-12 |
| 1720171580 | Bruce Harris Allen | Surgery | 113 Comanche Rd., Fort Meade, SD 57741 | 2006-10-02 |
| 1881831436 | Jason Lloyd Keszler | Radiology | 113 Comanche Rd, Fort Meade, SD 57741 | 2009-01-18 |
| 1497976955 | Phillip Victor Thompson | Pharmacist | 113 Comanche Road, Sturgis, SD 57741 | 2007-05-01 |
| 1396831301 | Mary Clearing-sky | Psychologist | 113 Comanche Road, Fort Meade, SD 57741 | 2006-10-05 |
| 1942393509 | James P Buchanan | Internal Medicine | 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-02 |
| 1205929908 | Stephanie Lea Bushman | Nurse Anesthetist, Certified Registered | 113 Comanche Rd, Fort Meade, SD 57741 | 2006-10-02 |
| 1811955206 | Susan Renae Morris | Physician Assistant | 113 Comanche Road, Fort Meade, SD 57741-1002 | 2006-05-03 |
| 1003893819 | Andrew J. Cottingham IIi | Anesthesiology | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2005-12-22 |
| 1306463203 | Emily Adrienne Benson | Audiologist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2020-06-26 |
| Find all providers in zip 57741 | ||||
| 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 |
|---|---|---|---|---|
| 1205232998 | Lisa Krogman | Nurse Practitioner | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-11-07 |
| 1336541978 | Ella Maria Stallings | Nurse Practitioner | 2480 Llewellyn Ave, Fort Meade, MD 20755 | 2014-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059057 | Minx Damron Fite | Nurse Practitioner | 701 S Cloudas Ave, Sioux Falls, SD 57103-2421 | 2020-09-26 |
| 1164035945 | Channing Nordin | Nurse Practitioner | 7421 W 50th St, Sioux Falls, SD 57106-7647 | 2020-08-31 |
| 1790312478 | Spencer Robert Taylor | Nurse Practitioner | 5919 S Remington Pl Ste 200, Sioux Falls, SD 57108-5143 | 2020-03-24 |
| 1033752183 | Kendra C. Storm | Nurse Practitioner | 3615 5th St Ste 107, Rapid City, SD 57701-7360 | 2019-10-22 |
| 1639678956 | Carrie Hunt | Nurse Practitioner | 1305 West 18th Street, Emergency Department, Sioux Falls, SD 57105 | 2018-02-02 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1316456908 | Mandy L Wilde | Nurse Practitioner | 104 W Birch St, Arlington, SD 57212 | 2017-09-26 |
| 1275058216 | Angela Marie Mackner | Nurse Practitioner | 201 S Lloyd St Ste W190, Aberdeen, SD 57401-4509 | 2017-08-10 |
| 1225578198 | Autumn Rae Tucker | Nurse Practitioner | 161 S, Main Street, Mission, SD 57555 | 2017-02-27 |
| 1316494495 | Jennifer Lynn Morlang | Nurse Practitioner | 2805 5th St Ste 100, Rapid City, SD 57701-7306 | 2016-09-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT MEADE |
| Zip Code | 57741 |
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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.