Dale Scott Henderson, F.N.P

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NPF 11662 Issued in CA

Practice address

1141 Rose Ave
Selma, CA 93662-3241

Phone

(559) 891-6244

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1528160520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST",
            "address_2": "SUITE 900",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 ROSE AVE",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623241",
            "telephone_number": "559-891-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DALE",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "NPF 11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristal Grijalva, NP
• Cynthia M Guerra, MSN FNP C
• Kimberly Gabriela Guzman-Martinez
• Earl C Hackett, M.D.
• Linda Halderman, M.D.
• Janna Her, M.A., CCC-SLP
• Guadalupe Hernandez
• Lizbeth Hernandez, M.A., CCC-SLP
• Angelo Nicholas Heropoulos, M.D.
• Andrea Stephanie Herrera, LMFT

• Registered Nurse in Selma, CA
• Providers in Selma, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.