KENDRA SHANEE RENDON (NPI# 1063913663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063913663 |
| Entity Type | Individual |
| Full Name | KENDRA SHANEE RENDON |
| Practice Address |
1500 S. Ave K Station 3, Shroc Portales NM 88130 |
| Practice Telephone | 5755622160 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1500 S. AVE K STATION 3, SHROC |
| City | PORTALES |
| State | NM |
| Zip Code | 88130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407486103 | Richard Ballou | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K, Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1881241081 | Ashley Crystal Reyes | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K, Station 3, Shroc, Portales, NM 88130 | 2019-08-22 |
| 1316466303 | Mallory Massey | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K, Station 3, Shroc, Portales, NM 88130 | 2017-09-12 |
| 1457718991 | Ileana Dennis | Specialist/Technologist | 1500 S. Ave K, Station 3, Shroc, Portales, NM 88130 | 2016-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1023534971 | Hannah Floyd | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K # 3 Shroc, Portales, NM 88130-7400 | 2017-08-22 |
| 1386160489 | Raveena Bains | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K, Station 3 Shroc, Portales, NM 95993 | 2017-08-21 |
| 1669998928 | Amanda Eliza Ramirez | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shroc, Portales, NM 88130 | 2017-08-18 |
| 1578089785 | Sonny Militante | Student in an Organized Health Care Education/Training Program | 1500 S Ave K, Station 3, Shroc, Portales, NM 88130 | 2017-08-18 |
| Find all providers in PORTALES | ||||
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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.