KENDRA DEANN PROCTOR (NPI# 1396764981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396764981 |
| Entity Type | Individual |
| Full Name | KENDRA DEANN PROCTOR |
| Credential | RN, CFNP |
| Practice Address |
1128 Clarksville St Ste. 100 Paris TX 75460-6060 |
| Practice Telephone | 9037854362 |
| Practice Fax Number | 9037829365 |
| Mailing Telephone | 9037854362 |
| Mailing Fax Number | 9037829365 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 562744 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 112250904 | 05 | |
| TX | INDIVIDUAL RAILROAD MC | 500021734 | 01 |
| TX | INDIVIDUAL BLUE CROSS | 88N512 | 01 |
| GROUP TEXAS HEALTH STEPS | 144831802 | 01 |
| Street Address |
1128 CLARKSVILLE ST STE. 100 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-6060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386614766 | Paris Family Physicians,pa | Nurse Practitioner | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-01-26 |
| 1154894806 | Matthew D Roberts | Nurse Practitioner | 1128 Clarksville St, Paris, TX 75460-6060 | 2019-01-05 |
| 1700032745 | Han Pham Hulen, Md, P.a. | Internal Medicine | 1128 Clarksville St, Suite 50, Paris, TX 75460-6060 | 2008-08-11 |
| 1255545752 | Shaun R Spinks | Family Medicine | 1128 Clarksville St, Ste 100, Paris, TX 75460-6060 | 2007-05-10 |
| 1376562942 | John Derek Durham | Family Medicine | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447722335 | Suzanne B Mcfadden | Nurse Practitioner | 300 Tyson Ave, Paris, TN 38242-4576 | 2018-12-18 |
| 1679992085 | Kristian Michelle Hill Elliott | Nurse Practitioner | 300 Hospital Cir Ste 103, Paris, TN 38242-4597 | 2014-04-14 |
| 1851303960 | Jennifer Myers | Nurse Practitioner | 24 Clinic Dr Ste A, Paris, KY 40361-2166 | 2006-08-13 |
| 1386614766 | Paris Family Physicians,pa | Nurse Practitioner | 1128 Clarksville St, Ste. 100, Paris, TX 75460-6060 | 2006-01-26 |
| 1093349987 | Kelly Rene' Merritt | Nurse Practitioner | 3435 Ne Loop 286, Paris, TX 75460-5002 | 2020-02-28 |
| 1578124913 | Tabitha Wood | Nurse Practitioner | 727 E Court St, Paris, IL 61944-2460 | 2019-06-26 |
| 1962066688 | Tanganyika Lynn Dudley | Nurse Practitioner | 635 Stone Ave, Paris, TX 75460-9342 | 2019-04-29 |
| 1548749245 | Kelly Don Whaley | Nurse Practitioner | 5220 Se Loop 286, Paris, TX 75460 | 2018-08-13 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1477063006 | Diakhomba Diaby | Nurse Practitioner | 1800 Farm Road 195, Paris, TX 75462-2806 | 2017-10-10 |
| Find all providers in PARIS | ||||
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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.