Tamela Marie Henne, L.M.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00023098 Issued in WA

Practice address

106 S 7TH Ave
Yakima, WA 98902-3306

Phone

(509) 307-5005

Fax

(509) 469-0467

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942408224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 TACOMA ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031970",
            "telephone_number": "509-307-5005",
            "fax_number": "509-469-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S 7TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023306",
            "telephone_number": "509-307-5005",
            "fax_number": "509-469-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNE",
        "first_name": "TAMELA",
        "middle_name": "MARIE",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I PROVIDER #",
            "identifier": "0214628",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristy L Henderson
• Marjorie L Henderson, MD
• Phyllis Jo Henderson, MD
• Sarah Anne Hendricks
• Sarah Hendrickson
• Valerie Hennessy, ARNP
• Autumn Rose Henry, PHARMD
• Michele Lynn Hensel, LPN
• Tori Hensley
• Jordan Scott Henson, PA-C

• Specialist in Yakima, WA
• Providers in Yakima, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.