KENDRA G WORDEN (NPI# 1972772259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972772259 |
| Entity Type | Individual |
| Full Name | KENDRA G WORDEN |
| Credential | MSN,FNP-C |
| Practice Address |
217 S Madison Street Traverse City MI 49684-2320 |
| Mailing Address |
2513 Momentum Pl Chicago IL 60689-5325 |
| Practice Telephone | 2313928400 |
| Practice Fax Number | 2319357888 |
| Mailing Telephone | (231) 935-6080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2017-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704232198 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
217 S MADISON STREET |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831180140 | David P Michelin | Obstetrics & Gynecology | 217 S Madison Street, Traverse City, MI 49684-2320 | 2005-11-04 |
| 1215308036 | Julie Comfort | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-3230 | 2015-10-20 |
| 1487909396 | Jacalyn Sue Lasich | Social Worker | 217 S Madison Street, Traverse City, MI 49684-2320 | 2012-07-17 |
| 1023372687 | Munson Medical Center | Internal Medicine | 217 S Madison Street, Ste 2, Traverse City, MI 49684 | 2012-06-28 |
| 1760793368 | Kristian Michael Koller | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2010-06-29 |
| 1770746257 | Joshua Michael Ruch | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2008-07-06 |
| 1316064041 | Zachary Hector-word | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684 | 2007-03-26 |
| 1356353791 | Nathan Rousse | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-08-13 |
| 1992749279 | Dana Lucile Hoffman | Nurse Practitioner | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-06-16 |
| 1477519940 | David S Gordon | Internal Medicine | 217 S Madison Street, Traverse City, MI 49684-2320 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639638588 | Shawn Ann Kintigh | Nurse Practitioner | 5041 N Royal Dr Ste 1, Traverse City, MI 49684-6986 | 2019-03-19 |
| 1134551492 | Karen Lynn Volas | Nurse Practitioner | 3865 W Front St, Traverse City, MI 49684-8153 | 2013-08-08 |
| 1275771370 | Danielle Emily Koch | Nurse Practitioner | 5191 Rosewood Dr, Traverse City, MI 49685-9137 | 2009-01-27 |
| 1144424219 | Linda Danielle Gottwald | Nurse Practitioner | 1105 Sixth St., Traverse City, MI 49684 | 2007-06-13 |
| 1619196490 | Renee Rose Jacobson | Nurse Practitioner | 1701 E Front St, Lb 106, Traverse City, MI 49686-3016 | 2007-04-24 |
| 1023182078 | Laura A. Schmidt | Nurse Practitioner | 921 W Front St, Traverse City, MI 49684-2327 | 2006-11-20 |
| 1609985977 | Patricia Elaine Mcintosh | Nurse Practitioner | 10767 E Traverse Hwy, Traverse City, MI 49684-6219 | 2006-08-30 |
| 1730116732 | Gabrielle W Cochran | Nurse Practitioner | 1515 Cass Street Suite C, Traverse City, MI 49684-4156 | 2006-06-26 |
| 1730157652 | Jill Norene Polmateer | Nurse Practitioner | 1104 Cass St, Traverse City, MI 49684-3236 | 2006-03-08 |
| 1538131396 | Patricia Davis | Nurse Practitioner | 217 S Madison St, Traverse City, MI 49684-2320 | 2006-02-06 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.