ALTA BLANCHE KENDALL (NPI# 1104246388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104246388 |
| Entity Type | Individual |
| Full Name | ALTA BLANCHE KENDALL |
| Credential | ARNP NNP-BC |
| Practice Address |
3900 Capital Mall Dr Sw Olympia WA 98502-8654 |
| Mailing Address |
315 Martin Luther King Jr Way Tacoma General Hospital-pediatrix Medical Group Tacoma WA 98405-4234 |
| Practice Telephone | 3607044743 |
| Mailing Telephone | 2534031019 |
| Mailing Fax Number | 2534031686 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP60289316 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 Martin Luther King Jr Way, Tacoma General Hospital-pediatrix Medical Group, Tacoma, WA 984054234 | 2534031019 | 2534031686 |
| Street Address |
3900 CAPITAL MALL DR SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709604 | Gary Lee Wood | Radiology | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2005-06-09 |
| 1992325377 | Lindsay Kate Rios | Nurse's Aide | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2020-04-25 |
| 1629612544 | Assured Surgical Assisting LLC | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-11-04 |
| 1699319897 | Kyle Thompson | Registered Nurse | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-10-30 |
| 1790337558 | Katharine Conley | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2019-07-11 |
| 1144673682 | Daniel Hanson | Nurse Anesthetist, Certified Registered | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-07-20 |
| 1891164042 | Christopher Robert White | Physical Therapy Assistant | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-09-17 |
| 1700272028 | Prathyusha Naidu | Internal Medicine | 3900 Capital Mall Dr Sw, Olympia, WA 98502 | 2015-04-13 |
| 1023411717 | Daniel G Ng | Pharmacist | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-10-08 |
| 1144644345 | Ashok James Ponniah | Internal Medicine | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467545038 | Michele Frame | Nurse Practitioner | 900 Pacific Avenue, 2nd Floor, Everett, WA 98201-4168 | 2006-10-02 |
| 1225021934 | Kristie K Marbut | Nurse Practitioner | 4113 Bridgeport Way W, Suite F, University Place, WA 98466-4325 | 2005-08-26 |
| 1023627528 | Stephanie Jessica Partin | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-07-30 |
| 1962046425 | Kelsie Shizuyo Furutani | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-28 |
| 1265097752 | Kaylee Michelle Ehman | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-09 |
| 1295291755 | Brandy Nicole Galloway | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-20 |
| 1598259194 | Tiffany N Bautista | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2018-06-18 |
| 1548750276 | Rocio Noemi Humphrey | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-05-17 |
| 1205340304 | Joanna Marie Mclaughlin | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-3003 | 2017-11-28 |
| 1841730637 | Nathanael Schooley | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-02-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALTA BLANCHE KENDALL.
| 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.