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MS. VIVIAN LYNN HENDERSON CERTIFIED MEDICAL AS
NPI 1205239175
Home Health Aide in Tuba City, AZ

Active since October 06, 2014
167 NORTH MAIN STREET, TUBA CITY, AZ 86045(928) 283-2501(928) 283-2677 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Vivian Lynn Henderson Certified Medical As NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. VIVIAN LYNN HENDERSON CERTIFIED MEDICAL AS (NPI 1205239175) is an individual home health aide in Tuba City, Arizona, licensed in Kansas (777218) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1205239175
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameMS. VIVIAN LYNN HENDERSONCredential: CERTIFIED MEDICAL AS
Location Address167 NORTH MAIN STREETTuba City, AZ 86045-0600
Mailing AddressPo Box 600, Pfs Business OfficeTuba City, AZ 86045-0600 · (928) 283-2781 · Fax (928) 283-2677
Phone(928) 283-2501
Fax(928) 283-2677
Sole ProprietorNo
Enumeration DateOctober 6, 2014
✔ NPI 1205239175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in KS · 777218
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
167 NORTH MAIN STREET, Tuba City, AZ 86045
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIMMIE L TAYLOR RN
Registered Nurse (Ambulatory Care)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
DARCY ANNA HASTINGS R.N.
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
REBECCA E ROSS RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CHARLOTTE SMITH RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
GABRIELLE KAY JOE CNA
Nurse's Aide
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
MR. MATTHEW E TIERNEY RDCS
Specialist/Technologist Cardiovascular (Sonography)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2501
CALVINA NEZ RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094
ANDRECE JACKSON RN
Registered Nurse
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Coconino County (928) 283-2094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Henderson's NPI number?

The NPI number for Vivian Henderson is 1205239175. It was assigned to this individual provider in the NPPES registry on October 6, 2014.

Where is Vivian Henderson located?

Vivian Henderson practices at 167 North Main Street, Tuba City, AZ 86045. The listed phone number is (928) 283-2501.

What is Vivian Henderson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Vivian Henderson was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.