KENDRA MOLLETTE (NPI# 1558982694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558982694 |
| Entity Type | Individual |
| Full Name | KENDRA MOLLETTE |
| Credential | CBS |
| Practice Address |
2415 Winslow Park Cir Medford OR 97504-4925 |
| Practice Telephone | 5418165482 |
| Mailing Telephone | 5418165482 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
2415 WINSLOW PARK CIR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077705 | Milli Schaeffer | Lactation Consultant, Non-RN | 7 Norwood Ct, Medford, NJ 08055-9333 | 2019-11-07 |
| 1497126676 | Jessica Ruscetta | Lactation Consultant, Non-RN | 69 Union St, Medford, NJ 08055-2432 | 2015-10-13 |
| 1730597584 | Nancy Baker | Lactation Consultant, Non-RN | 750 Murphy Rd, Medford, OR 97504-8426 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765819 | Jessica Spevak Barbosa | Lactation Consultant, Non-RN | 1150 Darlene Ln Apt 142, Eugene, OR 97401-1109 | 2020-03-16 |
| 1124651518 | Robin Nunez | Lactation Consultant, Non-RN | 18205 Sw Broad Oak Blvd, Beaverton, OR 97007-4611 | 2020-02-13 |
| 1609406057 | Ashley Treadwell | Lactation Consultant, Non-RN | 4529 Se 52nd Ave, Portland, OR 97206-4920 | 2020-01-23 |
| 1225599871 | Erin Kaleena Fortuna | Lactation Consultant, Non-RN | 872 W Main St Apt S164, Molalla, OR 97038-9005 | 2019-03-27 |
| 1518424563 | Ulrikke Frances Haveron | Lactation Consultant, Non-RN | 7043 N Campbell Ave, Portland, OR 97217-5611 | 2019-02-26 |
| 1336606862 | Jessica Gaskill | Lactation Consultant, Non-RN | 6406 Ne 36th Ave, Portland, OR 97211-7234 | 2019-02-20 |
| 1932663309 | Elizabeth Ellen Rago | Lactation Consultant, Non-RN | 1105 Wilson St, Hood River, OR 97031-1675 | 2019-01-29 |
| 1124593454 | Sarah E Fuller | Lactation Consultant, Non-RN | 8910 Se Harrison St, Portland, OR 97216-1939 | 2018-10-13 |
| 1053886226 | Rosemary K Ragusa | Lactation Consultant, Non-RN | 6221 Se 49th Ave, Portland, OR 97206-6910 | 2018-10-03 |
| 1659866796 | Alimah Hall | Lactation Consultant, Non-RN | 6393 Se Yamhill St, Portland, OR 97215-2832 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
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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.