KENDIS MOORE DRAKE (NPI# 1295956621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295956621 |
| Entity Type | Individual |
| Full Name | KENDIS MOORE DRAKE |
| Credential | RN,NP |
| Practice Address |
1008 E Mcdowell Rd Phoenix AZ 85006-2603 |
| Mailing Address |
4490 N Dromedary Rd Phoenix AZ 85018-2952 |
| Practice Telephone | 6023930661 |
| Practice Fax Number | 6022543474 |
| Mailing Telephone | 6029529074 |
| Mailing Fax Number | 6028409685 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN038738 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1008 E MCDOWELL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787693 | Kelly H Roy | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2005-08-17 |
| 1093327470 | Edie Watson | Nurse Practitioner | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2020-08-18 |
| 1245613256 | Paradise Valley Surgery Center | Clinic/Center | 1008 E Mcdowell Rd, Suite C, Phoenix, AZ 85006-2603 | 2015-07-08 |
| 1487888426 | Gynesurgical, LLC | Clinic/Center | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2009-05-05 |
| 1003099367 | Kelly H. Roy, Md, PC | Internal Medicine | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2007-12-10 |
| 1114107323 | T.a. Jantz, D.o., P.C. | Surgery | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-11-06 |
| 1457476418 | Laser Surgery Center, LLC | Clinic/Center | 1008 E Mcdowell Rd, Phoenix, AZ 85006-2603 | 2007-03-20 |
| 1063461580 | Understanding Women PC | Obstetrics & Gynecology | 1008 E Mcdowell Rd, Phoenix, AZ 85006 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962018952 | Marlene Hildegard Zeller | Nurse Practitioner | 16630 S 38th Pl, Phoenix, AZ 85048-7944 | 2020-09-16 |
| 1962034355 | Jessica Lynn Contreras | Nurse Practitioner | 6704 N 10th Ave, Phoenix, AZ 85013-1008 | 2020-02-04 |
| 1437442076 | Mary Franice Dunn | Nurse Practitioner | 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 | 2011-05-16 |
| 1831418763 | Pamela Barbour Peat | Nurse Practitioner | 3125 N 32nd St Ste 200, Phoenix, AZ 85018-6218 | 2010-05-17 |
| 1851505887 | Jennifer Spiser Woodruff | Nurse Practitioner | 9930 W Indian School Rd, Phoenix, AZ 85037-5902 | 2007-05-09 |
| 1679793780 | Sherry Lee Gorslin | Nurse Practitioner | 9303 N 7th St, Ste 4, Phoenix, AZ 85020 | 2007-04-30 |
| 1497876056 | Bonnie Rose Hare | Nurse Practitioner | 1661 E. Camelback Road, Ste 160, Phoenix, AZ 85016 | 2007-04-02 |
| 1750468138 | Traci Rae Aldridge | Nurse Practitioner | 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2006-11-01 |
| 1538190269 | Debra Laseter | Nurse Practitioner | 2255 N 44th St, Suite #200, Phoenix, AZ 85008-3293 | 2006-07-05 |
| 1588665061 | Joyce Morgan | Nurse Practitioner | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2005-08-09 |
| Find all providers in PHOENIX | ||||
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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.