DR. KENDRA DRAKE (NPI# 1780893750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780893750 |
| Entity Type | Individual |
| Full Name | DR. KENDRA DRAKE |
| Credential | M.D. |
| Practice Address |
3838 N Campbell Ave, Bldg 2 Clinic E Tucson AZ 85719 |
| Mailing Address |
1501 N Campbell Avenue, 6th Floor Department of Neurology, 6th Floor Tucson AZ 85721 |
| Practice Telephone | 5206948888 |
| Practice Fax Number | 5206940235 |
| Mailing Telephone | 5206948888 |
| Mailing Fax Number | 5206940235 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
42348 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6567 E Carondelet Dr Ste 305, Tucson, AZ 857106160 | 5208818400 | 5208297521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639621667 | Kendra L Drake | Nurse Practitioner | 172 S Mayo Trl, Pikeville, KY 41501-1515 | 2016-10-25 |
| Street Address |
3838 N CAMPBELL AVE, BLDG 2 CLINIC E |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790757250 | Harvey Buchsbaum | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg 2, Clinic E, Tucson, AZ 85719 | 2006-02-07 |
| 1144875451 | Jacqueline Claire Spera | Nurse Practitioner | 3838 N Campbell Ave, Bldg 2, Tucson, AZ 85719 | 2019-08-04 |
| 1043411333 | Wendi Irene Kulin | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg 2, Tucson, AZ 85719 | 2007-05-31 |
| 1962414839 | Sudeshna C Bose | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg 2, Tucson, AZ 85719 | 2006-08-12 |
| 1578592036 | Holli Ann Horak | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg 2, Clinic E, Tucson, AZ 85719 | 2006-06-30 |
| 1629041942 | Bruce Coull | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg 2, Clinic E, Tucson, AZ 85719 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| Find all providers in zip 85719 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992294607 | Kathryn Clare Krulisky | Psychiatry & Neurology | 1501 N Campbell Ave Rm 6204a, Tucson, AZ 85724-0001 | 2018-05-08 |
| 1730603283 | Gilbert Rene Gonzales | Psychiatry & Neurology | 863 W Calle De Los Higos, Tucson, AZ 85745-3250 | 2017-07-26 |
| 1376902536 | Vimala Sravanthi Vajjala | Psychiatry & Neurology | 1501 N Campbell Ave Fl 6, Tucson, AZ 85724-1962 | 2016-02-16 |
| 1568842961 | Judy Dawod | Psychiatry & Neurology | 3838 N Campbell Avenue, Bldg 2, Clinic E, Tucson, AZ 85719 | 2015-06-02 |
| 1942546841 | Northstar Neurology, PC | Psychiatry & Neurology | 7596 N La Cholla Blvd, Tucson, AZ 85741-2307 | 2012-12-20 |
| 1720391279 | Muhammad Awais Khan | Psychiatry & Neurology | 3838 N Campbell Ave, Bldg2, Clinic E, Tucson, AZ 85719 | 2010-07-26 |
| 1730344102 | Mateja De Leonni Stanonik | Psychiatry & Neurology | 2850 E Skyline Dr Ste 130, Tucson, AZ 85718-8013 | 2008-07-24 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1700074507 | Kamakshi A. Patel | Psychiatry & Neurology | 6261 N. La Cholla Blvd, Suite 131, Tucson, AZ 85741 | 2007-10-05 |
| 1164627329 | Valerie Ann Cwik | Psychiatry & Neurology | 3300 E Sunrise Dr, Tucson, AZ 85718-3208 | 2007-06-18 |
| Find all providers in TUCSON | ||||
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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.