KENDRA JOY VANDOVER (NPI# 1295367795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295367795 |
Entity Type | Individual |
Full Name | KENDRA JOY VANDOVER |
Practice Address |
1401 S University Dr Nacogdoches TX 75961-6488 |
Mailing Address |
265 Bobwhite Dr Lufkin TX 75904-6954 |
Practice Telephone | 9365605668 |
Mailing Telephone | 9364658520 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
AP144456 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1401 S UNIVERSITY DR |
City | NACOGDOCHES |
State | TX |
Zip Code | 75961-6488 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255367090 | East Texas Community Health Services, Inc. | Clinic/Center | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2006-06-23 |
1477162584 | Chantell Monique Comans | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2020-07-24 |
1316287915 | Maribel Arredondo | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2013-02-20 |
1689860397 | Jan Elizabeth Bailey | Nurse Practitioner | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-09-18 |
1396968384 | Peter Leonard Gergen | Physician Assistant | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
1548483472 | Kevin Lee Murphy | Physician Assistant | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
1942423892 | Richard Edward Tracy | Family Medicine | 1401 S University Dr, Nacogdoches, TX 75961-6488 | 2007-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
Find all providers in zip 75961 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659914539 | Atrium House Call Clinic, LLC | Nurse Practitioner | 10729 Audelia Rd Ste 210, Dallas, TX 75238-1000 | 2019-10-23 |
1376003962 | Jumpstart Health LLC | Nurse Practitioner | 5227 Reading Rd, Rosenberg, TX 77471-5758 | 2019-03-21 |
1760983886 | Emilia Okere | Nurse Practitioner | 13119 Hill Canyon Ln, Houston, TX 77072-5636 | 2018-02-23 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1063833754 | Jenny Khan | Nurse Practitioner | 1400 S Loop 336 W, Conroe, TX 77304-3317 | 2013-12-23 |
1386853562 | Cherryl Lynn Rowell | Nurse Practitioner | 106 West Rusk Street, Mount Enterprise, TX 75681-0489 | 2007-05-22 |
1417061128 | Asu- Sanjacinto School Based Clinic | Nurse Practitioner | 800 Spaulding St, San Angelo, TX 76903-4930 | 2006-08-18 |
1811967417 | Shawn D. Dowe | Nurse Practitioner | 25615 Us Highway 281 N Ste 250, San Antonio, TX 78258 | 2006-01-25 |
1255870010 | Charla Lambert Denman | Nurse Practitioner | 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | 2017-02-13 |
1003284472 | Marie L Neba | Nurse Practitioner | 14226 Ashmore Reef Ct, Sugar Land, TX 77498-7598 | 2015-09-02 |
Find all providers with the same taxonomy |
City | NACOGDOCHES |
Zip Code | 75961 |
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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.