ANDREA HENDERSON (NPI# 1992153704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992153704 |
| Entity Type | Individual |
| Full Name | ANDREA HENDERSON |
| Practice Address |
9131 Bradford Detroit MI 48224 |
| Practice Telephone | 5869961118 |
| Mailing Telephone | 5869961118 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703115545 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699149443 | Andrea Henderson | Home Health Aide | 1410 Washington Blvd, Apt 1706, Detroit, MI 48226-1719 | 2015-11-17 |
| 1790932895 | Andrea Diane Henderson | Physical Therapist | 640 S Irena Ave, Redondo Beach, CA 90277-4355 | 2008-08-20 |
| 1578756466 | Andrea Leigh Henderson | Midwife | 18208 66th Ave Ne Ste 200, Kenmore, WA 98028-7949 | 2007-08-23 |
| 1831243195 | Andrea Lynn Henderson | Registered Nurse | 11450 E View Dr, Amarillo, TX 79124-4782 | 2007-01-23 |
| 1356756290 | Andrea J Henderson | Physical Therapist | 5255 W Overland Rd, Boise, ID 83705-2637 | 2014-06-30 |
| 1194072231 | Andrea Lynne Henderson | Dentist | 11980 San Vicente Blvd, Suite 918, Los Angeles, CA 90049-5012 | 2012-08-08 |
| 1720359375 | Andrea Henderson | Pharmacist | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2012-01-13 |
| 1992026546 | Andrea Henderson | Dentist | 1010 Main St S, Mc Kee, KY 40447-7089 | 2010-06-17 |
| 1548462955 | Andrea Henderson | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2007-06-05 |
| Street Address |
9131 BRADFORD |
| City | DETROIT |
| State | MI |
| Zip Code | 48224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403767 | Renia Scott | Licensed Practical Nurse | 5211 Berkshire St, Detroit, MI 48224 | 2019-12-06 |
| 1063928612 | Edith Neely-harris | Registered Nurse | 1203 Courville Street, Detroit, MI 48224 | 2017-12-19 |
| 1043767585 | Annette Jackson | Counselor | 10666 Duprey St, Detroit, MI 48224 | 2016-09-01 |
| 1164977807 | Dehvin White-peck | Technician, Other | 4529 Harvard Rd, Detroit, MI 48224 | 2016-08-23 |
| 1467807578 | Venus Staffing LLC | Nursing Care | 5601 Devonshire Rd, Detroit, MI 48224 | 2016-04-26 |
| 1558795625 | Rafia El-alayli | Internal Medicine | 9901 Whittier Ave, Detroit, MI 48224 | 2013-08-26 |
| 1831334259 | House of Hearts Ministry, Inc. | Voluntary or Charitable | 11151 Worden, Detroit, MI 48224 | 2008-12-15 |
| 1992994636 | Lilian Lai Md PC | Clinic/Center | 15850 E Warren Ave, Detroit, MI 48224 | 2007-10-18 |
| 1184845844 | Tymon C Totte | Dentist | 17700 Mack Ave, Great Expressions Dental Centers, Gross Pointe, MI 48224 | 2007-05-01 |
| 1043384845 | Shevata Kaul | Dentist | 17700 Mack Avenue, Grosse Pointe, MI 48224 | 2006-11-20 |
| Find all providers in zip 48224 | ||||
| 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 |
|---|---|---|---|---|
| 1861006538 | David Bradley | Licensed Practical Nurse | 15540 Prevost St, Detroit, MI 48227-1963 | 2020-09-01 |
| 1215540430 | Sheronda Lanetta Blackmon | Licensed Practical Nurse | 13929 Harper Ave., Detroit, MI 48213 | 2020-08-27 |
| 1518585504 | Lesley Dixon | Licensed Practical Nurse | 16668 Freeland St, Detroit, MI 48235-4500 | 2020-07-07 |
| 1720607237 | Nakesta Richardson | Licensed Practical Nurse | 9994 Bramell, Detroit, MI 48239-1304 | 2020-04-14 |
| 1962021477 | Torie Shatita Taylor | Licensed Practical Nurse | 22556 W Mcnichols Rd, Detroit, MI 48219-3140 | 2020-04-14 |
| 1689203499 | Tiffany Nicole Pierce | Licensed Practical Nurse | 8145 Greenfield Rd, Detroit, MI 48228-2220 | 2020-04-03 |
| 1750917118 | Stephanie Renee Williams | Licensed Practical Nurse | 8919 Prest St, Detroit, MI 48228-2200 | 2020-03-18 |
| 1417581299 | Valerie Adeyemi | Licensed Practical Nurse | 16559 Sorrento St, Detroit, MI 48235-4209 | 2020-03-02 |
| 1386276228 | Vikita Franklin | Licensed Practical Nurse | 16575 Snowden St, Detroit, MI 48235-4274 | 2020-02-09 |
| 1033749387 | Lachelle Mylinda Garrett | Licensed Practical Nurse | 18060 Gruebner St, Detroit, MI 48234-3854 | 2020-01-24 |
| Find all providers in DETROIT | ||||
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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.