KENDRA MICHELLE SMITH (NPI# 1740754829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740754829 |
| Entity Type | Individual |
| Full Name | KENDRA MICHELLE SMITH |
| Practice Address |
2525 S Michigan Ave Chicago IL 60616-2315 |
| Mailing Address |
22302 W Kankakee River Dr Wilmington IL 60481-8803 |
| Practice Telephone | 3125672000 |
| Mailing Telephone | 7725027152 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018531 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267649 | Kendra Beth Smith | Student in an Organized Health Care Education/Training Program | 6 Steele Hollow Rd, Spencer, WV 25276-9113 | 2017-04-03 |
| 1720488638 | Kendra Bailey Smith | Specialist/Technologist | 15 N 1050 W, Kaysville, UT 84037-2483 | 2014-08-27 |
| 1538390067 | Kendra Ann Smith | Psychologist | James Taylor Campus Health Bldg, Cb# 7470, Chapel Hill, NC 27599-7470 | 2009-07-31 |
| 1083868392 | Kendra M Smith | Emergency Medicine | 4803 10th Ave, Brooklyn, NY 11219 | 2008-11-13 |
| 1548871833 | Kendra Smith | Pharmacist | 206 N Main St, Crookston, MN 56716-1743 | 2020-08-11 |
| 1548879067 | Kendra De'von Smith | Advanced Practice Midwife | 1080 Neal St Ste 200, Cookeville, TN 38501-0944 | 2020-07-30 |
| 1154962512 | Kendra Smith | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2019-10-07 |
| 1528530854 | Kendra Smith | Behavior Technician | 1021 Springboard Dr, Hershey, PA 17033-8820 | 2018-12-27 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| 1629545074 | Kendra Renee Smith | Social Worker | 50 Lenox Pointe Ne Ste A, Atlanta, GA 30324-3170 | 2018-10-24 |
| Street Address |
2525 S MICHIGAN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937628 | Bassam Osman | Psychiatry & Neurology | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2005-07-28 |
| 1821699794 | Gabrielle Klugman | Speech-Language Pathologist | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-11-05 |
| 1588278766 | Omar Hegazy | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-09-03 |
| 1326657651 | Stevan Oluic | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-22 |
| 1821616947 | Peter Pyagay | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-07-07 |
| 1225655665 | Elliot A Petropoulos | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-01 |
| 1053931758 | Kristiina Carol Miller | Student in an Organized Health Care Education/Training Program | 2525 S Michigan Ave, Chicago, IL 60616 | 2020-04-22 |
| 1316567365 | Nikita Grama | Podiatrist | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-04-20 |
| 1073132031 | David Fares Nassif Hana | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-10 |
| 1932728961 | Maria Geraldinesneha Devanesan | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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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.