REGINA MARIE KENDRA


Address: 8268 N Coolin Dr, Hayden, ID 83835-9831
Phone: 2087620480

REGINA MARIE KENDRA (NPI# 1790192284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790192284
Entity Type Individual
Full Name REGINA MARIE KENDRA
Practice Address 8268 N Coolin Dr
Hayden
ID 83835-9831
Practice Telephone 2087620480
Mailing Telephone 2087620480
Enumeration Date 2014-07-16
Last Update Date 2019-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60477652 WA Physician Assistants & Advanced Practice Nursing Providers
N 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
AP60477652 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8268 N COOLIN DR
City HAYDEN
State ID
Zip Code 83835-9831

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1881212371 Ngan T Nguyen Pharmacist 161 E. Prairie Shopping Center, Hayden, ID 83835 2020-07-10
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1851894380 Medicine Man North Pharmacy Inc Pharmacy 30585 N Roberts Rd, Hayden, ID 83835 2018-03-11
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1548637994 Dance Dentistry Pllc Clinic/Center 1027 W Prairie Ave, Hayden, ID 83835 2015-09-01
1982012498 Dallin J. Dance Dentist 1027 W. Prairie Ave., Hayden, ID 83835 2014-07-28
1669808614 Integrated Interventions LLC Clinic/Center 2482 E. Glacier Rd., Hayden Lake, ID 83835 2013-09-23
1669812301 Caleb Jerome Foss Physical Therapist 8382 N Wayne Dr Ste 100, Hayden, ID 83835 2013-06-26
1437493798 Joseph Neal Tessendorf Chiropractor 1401 Biztown Loop, Hayden, ID 83835 2012-11-26
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669036976 Staci J Walner Nurse Practitioner 12761 N Emerald Dr, Hayden, ID 83835-9429 2019-04-23
1487999850 Jessica Lyn Laplante Nurse Practitioner 1399 N Biztown Loop, Hayden, ID 83835-5044 2012-12-11
1093014664 Dorothy Teresa Mccree Nurse Practitioner 8836 N Hess St Ste C, Hayden, ID 83835-8718 2011-03-22
1154965986 Sheena Satoko Young Nurse Practitioner 8836 N Hess St Ste C, Hayden, ID 83835-8718 2019-11-05
1578862017 Camille L. Volking Nurse Practitioner 8836 N Hess St, Suite C, Hayden, ID 83835-8718 2011-03-23
1104922400 Tawnya D. O'keefe Nurse Practitioner 8836 N Hess St, Suite C, Hayden, ID 83835-8718 2006-09-15
1396728416 Carla J Gentry Nurse Practitioner 8181 Cornerstone Dr, Hayden, ID 83835 2005-11-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164039988 Seth Thomas Six Nurse Practitioner 803 Mill Rd, Lewiston, ID 83501-0745 2020-09-25
1255947255 Brandon Smith Nurse Practitioner 5067 Camden St, Chubbuck, ID 83202-3501 2020-09-16
1407469166 Mmg LLC Nurse Practitioner 80 Cottonwood Ct Ste 150, Eagle, ID 83616-6577 2020-08-24
1588288336 Katina Ross Nurse Practitioner 11695 W Baserri Dr, Boise, ID 83709-1307 2020-06-07
1164043162 Slavik Osipchuk Nurse Practitioner 2329 W Root Creek St, Meridian, ID 83646-4678 2020-04-30
1538708862 Kay Dawn Martens Nurse Practitioner 334 E 200 S, Burley, ID 83318-5433 2020-01-03
1760025639 Kimberly Watson Nurse Practitioner 3536 W Moon Lake St, Meridian, ID 83646-8304 2019-10-23
1932741212 Kylie B Di Lulo Nurse Practitioner 1309 E Fall Ct, Boise, ID 83706-5076 2019-10-08
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1649824277 Bryana Michel Hinck Nurse Practitioner 150 W Broderick Dr, Meridian, ID 83646-0009 2019-07-31
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Competitor

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City HAYDEN
Zip Code 83835

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Dataset Information

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.

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