PATRICK KLENDA (NPI# 1154780302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780302 |
| Entity Type | Individual |
| Full Name | PATRICK KLENDA |
| Practice Address |
5711 N Interstate 27 Unit 3 Lubbock TX 79403-7524 |
| Practice Telephone | 7855776389 |
| Mailing Telephone | 7855776389 |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5711 N INTERSTATE 27 UNIT 3 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79403-7524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205484987 | Keisha Jones | Nurse Practitioner | 1406 Quinlan St, Lubbock, TX 79403 | 2019-08-27 |
| 1710254701 | Todd Patrick Faison | Specialist/Technologist | 1504 E. Itasca Ave., Lubbock, TX 79403 | 2011-11-19 |
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1982726832 | The Adult Day Activity Center of Lubbock, Inc. | Clinic/Center | 2807 42nd Street, Lubbock, TX 79403 | 2007-04-04 |
| 1831118306 | Community Health Center of Lubbock, Inc | Clinic/Center | 1826 Parkway Dr, Suite 500, Lubbock, TX 79403 | 2006-07-18 |
| 1891768321 | Community Health Center of Lubbock, Inc | Clinic/Center | 406 Mlk Blvd, Lubbock, TX 79403 | 2006-02-07 |
| 1649425851 | Sue C Craig | Physical Therapy Assistant | 208 Country Club Dr, Lubbock, TX 79403-1010 | 2008-12-02 |
| 1447310834 | Arthur Richard Howard Jr. | Dentist | 1109 Kemper St, Lubbock, TX 79403-2523 | 2006-12-08 |
| 1316150626 | Deborah Isaacks | Registered Nurse | 1109 Kemper St, Lubbock, TX 79403-2523 | 2007-05-07 |
| 1588118376 | Joseph Jordan | Contractor | 2001 Kent St, Lubbock, TX 79403-2922 | 2016-08-09 |
| Find all providers in zip 79403 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1942824214 | Kaka Leigh Adams | Student in an Organized Health Care Education/Training Program | 3601 4th St Ttuhsc Dept-pediatrics, Lubbock, TX 79430-0001 | 2020-06-03 |
| 1104440403 | Nadia Tello | Student in an Organized Health Care Education/Training Program | 3601 4th St Stop 8315, Lubbock, TX 79430-8315 | 2020-06-02 |
| 1154945517 | Nicholas Quigley | Student in an Organized Health Care Education/Training Program | Ttuhsc 3601 4th Street Stop 6211, Lubbock, TX 79430-0001 | 2020-06-02 |
| 1265056683 | Chandon C Loya | Student in an Organized Health Care Education/Training Program | Family Medicine Residency Program Ttu Hsc, 3601 4th Street Mail Stop 8143, Lubbock, TX 79430-0001 | 2020-06-01 |
| 1659995256 | Joshua Daniel Brogan | Student in an Organized Health Care Education/Training Program | Internal Med Dept Lbk Genl 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2020-05-31 |
| 1932722873 | Aron Tidrick | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 1b350, Lubbock, TX 79430-0002 | 2020-05-27 |
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1235752098 | Shannon Corbitt | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street Ttuhsc Department of Surgery Ms 8312, Lubbock, TX 79430-0001 | 2020-05-27 |
| 1104449917 | Jacob Burton | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology 3601 4th St Ms 8182 1b350b, Lubbock, TX 79430-8182 | 2020-05-27 |
| Find all providers in LUBBOCK | ||||
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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.