KENDRA SEAGRAVES (NPI# 1962800771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962800771 |
| Entity Type | Individual |
| Full Name | KENDRA SEAGRAVES |
| Credential | NP |
| Practice Address |
9976 Ford Avenue Richmond Hill GA 31324 |
| Mailing Address |
836 E 65th St Suite 22 Savannah GA 31405 |
| Practice Telephone | 9127563872 |
| Practice Fax Number | 9127565355 |
| Mailing Telephone | 9128197878 |
| Mailing Fax Number | 9128193320 |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN176789 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952808172 | Kendra Seagraves | Dietitian, Registered | 5150 Wardcliff Dr, East Lansing, MI 48823-3851 | 2018-04-13 |
| Street Address |
9976 FORD AVENUE |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1700282084 | Kimberly Cannon | Occupational Therapist | 27 Carter Street, Richmond Hills, GA 31324 | 2014-11-13 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190134 | Erica Davenport | Nurse Practitioner | 338 Young Way, Richmond Hill, GA 31324-5292 | 2020-09-29 |
| 1790314524 | Jenika Jade Errato | Nurse Practitioner | 100 Timber Trail Rd, Richmond Hill, GA 31324-9415 | 2020-04-03 |
| 1912556077 | Iftikhar Cheema | Nurse Practitioner | 11013 Jamaica Ave, Richmond Hill, NY 11418-2321 | 2019-09-10 |
| 1801371653 | Reena Rose Antony | Nurse Practitioner | 10913 Jamaica Ave, Richmond Hill, NY 11418-2335 | 2018-09-27 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1568814663 | Tatiana Gonzalez | Nurse Practitioner | 8405 108th St Apt E5, Richmond Hill, NY 11418-1213 | 2016-07-13 |
| 1184024697 | Alisha Salo Bennett | Nurse Practitioner | 10055 Ford Ave Ste 5a, Richmond Hill, GA 31324-3974 | 2014-09-03 |
| 1942620430 | Forrest Trevor Williams | Nurse Practitioner | 31 Egrets Way Lane, Richmond Hill, GA 31324 | 2014-04-23 |
| 1639485022 | Brenda Sporn | Nurse Practitioner | 125-06 101st Ave, Richmond Hill, NY 11419 | 2010-08-24 |
| 1538222849 | Rebecca Ann Raynes | Nurse Practitioner | 2324 Us 17, Richmond Hill, GA 31324 | 2006-12-18 |
| Find all providers in RICHMOND HILL | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
Please comment or provide details below to improve the information on KENDRA SEAGRAVES.
| 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.