KENDRA RENNER (NPI# 1427529072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427529072 |
| Entity Type | Individual |
| Full Name | KENDRA RENNER |
| Practice Address |
4600 3rd St Moline IL 61265-6106 |
| Practice Telephone | 3097792055 |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 12345 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316264302 | Kendra Ann Renner | Occupational Therapy Assistant | 1712 N Leland Dr, Huntingburg, IN 47542-9348 | 2010-04-29 |
| Street Address |
4600 3RD ST |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609870351 | Ernest Lee Galbreath | Psychiatry & Neurology | 4600 3rd St, Moline, IL 61265-6106 | 2005-06-10 |
| 1316545601 | Tamelia Abbasi | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-10-09 |
| 1346856556 | Alexa Stombaugh | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-22 |
| 1639785454 | Tracy Lynn Petersen | Case Manager/Care Coordinator | 4600 3rd St, Moline, IL 61265-6106 | 2020-09-17 |
| 1609489806 | Parneet Sahota | Student in an Organized Health Care Education/Training Program | 4600 3rd St, Moline, IL 61265-6106 | 2020-08-26 |
| 1477162212 | Camille Katrina Butler | Technician | 4600 3rd St, Moline, IL 61265-6106 | 2020-07-28 |
| 1659901106 | Gloria Maria Guillen | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1699305136 | Kaila Jenaman | Nurse Practitioner | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-23 |
| 1114567559 | Salena Hutchins | Nurse's Aide | 4600 3rd St, Moline, IL 61265-6106 | 2020-01-14 |
| 1619516218 | Jenifer Regennitter | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346719390 | William N Iavarone | Counselor | 3601 69th Ave, Moline, IL 61265-9798 | 2018-11-20 |
| 1558814160 | Healing Alliance LLC | Counselor | 1718 8th Ave, Moline, IL 61265-2118 | 2016-07-31 |
| 1932311859 | Child & Family Psychology Center PC | Counselor | 3919 16th Street, Moline, IL 61265 | 2007-05-04 |
| 1932326816 | Jennifer Lynn Piester | Counselor | 4602 3rd St, Moline, IL 61265-6106 | 2007-04-20 |
| 1326264060 | Benton Kurt Johnson II | Counselor | 2424 40th Ave, Suite #5, Moline, IL 61265-7215 | 2007-04-18 |
| 1174008122 | Yolanda Crouch | Counselor | 2424 40th Ave, Moline, IL 61265-7215 | 2018-09-26 |
| 1588158240 | Rodney Clemente Smith | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2018-06-17 |
| 1134638380 | Hassan Baig | Counselor | 4600 3rd St, Moline, IL 61265-6106 | 2017-09-20 |
| 1518485705 | Miriam L Greene | Counselor | 111 19th Ave, Moline, IL 61265-3754 | 2017-09-07 |
| 1437672847 | Brittney Grace Byrnes | Counselor | 2326 16th St, Moline, IL 61265-4824 | 2017-07-18 |
| Find all providers in MOLINE | ||||
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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.