KENDRA FEJEDELEM (NPI# 1053889014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053889014 |
| Entity Type | Individual |
| Full Name | KENDRA FEJEDELEM |
| Practice Address |
5205 Zachary Grv Apt 305 Colorado Springs CO 80919-5572 |
| Mailing Address |
638 Catalina Dr Colorado Springs CO 80906-5105 |
| Practice Telephone | 7194849189 |
| Mailing Telephone | 7194849189 |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2019-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.0195584 | CO | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0994631-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5205 ZACHARY GRV APT 305 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80919-5572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171373 | Joshua Swanson | Chiropractor | 7075 Lexington Dr, Colorado Springs, CO 80919 | 2019-12-19 |
| 1144878000 | Perseverance Counseling, LLC | Counselor | 6645 Delmonico Drive, Suite 103, Colorado Springs, CO 80919 | 2019-09-03 |
| 1184288763 | Natasha Lei Michelle Meszler | Speech-Language Pathologist | 1130 W Woodmen Rd Ntsoc Inc, Colorado Springs, CO 80919 | 2019-04-29 |
| 1396207452 | Bruna Maria Vancleave | Physical Therapist | 1130 West Woodmen Road, Colorado Springs, CO 80919 | 2019-04-05 |
| 1346709425 | Brier Van Valin | Occupational Therapist | 1130 W. Woodmen Rd, Co Springs, CO 80919 | 2019-03-18 |
| 1285116756 | Amanda N Evanson | Behavioral Analyst | 2706 Fieldstone Road, Colorado Springs, CO 80919 | 2018-08-31 |
| 1033606124 | Kristina Reck | Dentist | 3340 W Woodmen Rd, Colorado Springs, CO 80919 | 2018-04-16 |
| 1326556192 | Charles Jacob Cox | Behavior Technician | 2760 Fieldstone Road, Colorado Springs, CO 80919 | 2018-01-16 |
| 1306360342 | Jessica Kledzinski | Specialist/Technologist | 5516 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| 1790209732 | Maryanne Fitzgerald | Specialist/Technologist | 5625 Big Paw Heights, Colorado Springs, CO 80919 | 2017-08-01 |
| Find all providers in zip 80919 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1922607357 | Laura Evelyn Pettit | Nurse Practitioner | 7114 Selfridge St, Colorado Springs, CO 80916-5296 | 2020-10-16 |
| 1962011452 | Minuteclinic Diagnostic of Colorado LLC | Nurse Practitioner | 3475 N Academy Blvd, Colorado Springs, CO 80917-5166 | 2020-07-30 |
| 1760008999 | Ruth-ann N Umana | Nurse Practitioner | 3550 Plantation Grv, Colorado Springs, CO 80920-4830 | 2020-06-23 |
| 1376169763 | Shannon Graves | Nurse Practitioner | 4964 Bluestem Dr, Colorado Springs, CO 80917-1306 | 2020-06-22 |
| 1487270807 | Tammy Michelle Williams | Nurse Practitioner | 10212 Hannaway Dr, Colorado Springs, CO 80924-5320 | 2020-06-22 |
| 1154947836 | Roni-sue Ranae Westermeyer | Nurse Practitioner | 560 Hidden Cottage Grv, Colorado Springs, CO 80906-7777 | 2020-06-18 |
| 1952937906 | Brena Jonsan Branch | Nurse Practitioner | 5556 Prairie Schooner Dr, Colorado Springs, CO 80923-8771 | 2020-03-20 |
| 1235764390 | Serenity Clouds Family Practice Pllc | Nurse Practitioner | 13395 Voyager Pkwy Ste 446, Colorado Springs, CO 80921-7676 | 2020-03-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80919 |
Please comment or provide details below to improve the information on KENDRA FEJEDELEM.
| 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.