KENDRA TAMAR PETTIT (NPI# 1346674751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346674751 |
| Entity Type | Individual |
| Full Name | KENDRA TAMAR PETTIT |
| Credential | LPC |
| Practice Address |
1108 W Finch Dr Nampa ID 83651-1732 |
| Mailing Address |
1820 Mace Rd Eagle ID 83616-5710 |
| Practice Telephone | 2089910076 |
| Mailing Telephone | 2089910076 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-4861 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427581958 | Kendra Pettit | Specialist/Technologist | 600 N Grand Ave, Tahlequah, OK 74464-2301 | 2017-04-11 |
| Street Address |
1108 W FINCH DR |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1548828767 | Terry John Legg | Counselor | 16 12th Ave S Ste 110, Nampa, ID 83651-3962 | 2019-06-03 |
| 1154885796 | Rebekah Davis | Counselor | 4 Ogden Ave, Nampa, ID 83651-2371 | 2019-01-28 |
| 1770052821 | Margaret J Hedelius | Counselor | 17 12th Ave S Ste 201, Nampa, ID 83651-3952 | 2018-11-19 |
| 1689158776 | Curtis Mahan Garner | Counselor | 809 Astor Ave, Nampa, ID 83651-6516 | 2018-09-24 |
| 1841798287 | Stephanie Colleen Staats | Counselor | 1811 E Karcher Rd, Nampa, ID 83687-3000 | 2018-01-31 |
| 1780005934 | Brooke Winston | Counselor | 1312 S Edgewater Cir, Suite #4, Nampa, ID 83686-6086 | 2013-12-13 |
| 1407296213 | Jill K Vanorder-may | Counselor | 16951 N Thurgood Loop, Nampa, ID 83687-9164 | 2013-06-26 |
| Find all providers in NAMPA | ||||
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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.