KENDREA DIJUANNA LOONEY (NPI# 1194169078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194169078 |
| Entity Type | Individual |
| Full Name | KENDREA DIJUANNA LOONEY |
| Credential | CRNP |
| Practice Address |
245 Governors Dr Se Huntsville AL 35801-2700 |
| Mailing Address |
458 Usher Rd Harvest AL 35749-8222 |
| Practice Telephone | 2562651000 |
| Practice Fax Number | 2565198327 |
| Mailing Telephone | 2052679974 |
| Mailing Fax Number | 2565198327 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
1-106127 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
245 GOVERNORS DR SE |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35801-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435398 | Wilfredo I Vergara | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2005-08-24 |
| 1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
| 1184234676 | Brianna Michelle Moultrie | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-09 |
| 1518583996 | Laura Beth Rouse | Nurse Anesthetist, Certified Registered | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-06-22 |
| 1528687035 | Jamie Hunter | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-04-14 |
| 1366077562 | Santrice Pleasant | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-03-08 |
| 1255964425 | Sarah Heimsness Davis | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-17 |
| 1750914065 | Jeanette Olivia Craven | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-02-14 |
| 1356989784 | Amy Hall | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-12-17 |
| 1578109781 | Lauren Anne Higginbotham | Registered Nurse | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422742 | Elena Mihaela Kruse | Nurse Practitioner | 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 | 2020-09-18 |
| 1225657661 | Ashley Danielle Ford | Student in an Organized Health Care Education/Training Program | 301 Governors Drive Se, Huntsville, AL 35801 | 2020-04-15 |
| 1407417702 | Sasha J White | Specialist | 410 Governors Dr. Sw, Huntsville, AL 35801 | 2019-06-26 |
| 1003472978 | Gina Marie Delgado | Nurse Practitioner | Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 | 2019-05-15 |
| 1366909863 | Lisa Starkey Suggs | Nurse Practitioner | 3500 Memorial Parkway S.w., Huntsville, AL 35801 | 2019-02-21 |
| 1902373277 | Kelly S Fisher LLC | Counselor | 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 | 2018-10-25 |
| 1073097911 | Brittani B Hamrick | Psychologist | 203 Eastside Sq Ste C9, Huntsville, AL 35801 | 2018-09-17 |
| 1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1366968398 | Bennett Brent Smith | Physician Assistant | 825 Adams St. Se, Huntsville, AL 35801 | 2017-08-22 |
| Find all providers in zip 35801 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722289 | Tiffany Garrett | Nurse Practitioner | 333 Whitesport Dr Sw Ste 104, Huntsville, AL 35801-3455 | 2020-02-13 |
| 1386984474 | Steadman Lee Mcpeters | Nurse Practitioner | 813 Franklin St., Ste B, Huntsville, AL 35801-4311 | 2013-02-26 |
| 1720216906 | Kellie Coplin Anderson | Nurse Practitioner | 401 Lowell Dr Se Ste 5, Huntsville, AL 35801 | 2009-06-26 |
| 1609070424 | Elizabeth Anne Wessel | Nurse Practitioner | 2006 Franklin St Se Ste 107, Huntsville, AL 35801-4537 | 2007-06-14 |
| 1972104479 | Elizabeth Rose Gray | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2020-11-03 |
| 1912518861 | Tyler Joe Fadorsen | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2020-08-13 |
| 1023652625 | Maura Owens Galvez | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-11-06 |
| 1053954958 | Natalie Burleson | Nurse Practitioner | 813 Franklin St Se, Huntsville, AL 35801-4311 | 2019-10-23 |
| 1205489986 | Jessica Stroud | Nurse Practitioner | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2019-07-22 |
| 1801456470 | Haley Briana Smith | Nurse Practitioner | 101 Sivley Rd Sw, Huntsville, AL 35801-4470 | 2019-06-17 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 35801 |
Please comment or provide details below to improve the information on KENDREA DIJUANNA LOONEY.
| 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.