KENDAL COURTNEY GILL (NPI# 1245708924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245708924 |
| Entity Type | Individual |
| Full Name | KENDAL COURTNEY GILL |
| Credential | WHNP-BC |
| Practice Address |
12900 Frederick St Ste C Moreno Valley CA 92553-5266 |
| Mailing Address |
550 Mesa Breeze Way Apt 190 Oceanside CA 92058-7251 |
| Practice Telephone | 6198814500 |
| Mailing Telephone | 6025160445 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95010358 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12900 FREDERICK ST STE C |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033144027 | Planned Parenthood Pacific Southwest | Clinic/Center | 12900 Frederick St Ste C, Moreno Valley, CA 92553-5266 | 2006-07-11 |
| 1164054383 | Zahra Hakimioun Perfect | Nurse Practitioner | 12900 Frederick St Ste C, Moreno Valley, CA 92553-5266 | 2020-02-05 |
| 1750865143 | Christy Perez | Nurse Practitioner | 12900 Frederick St Ste C, Moreno Valley, CA 92553-5266 | 2018-09-20 |
| 1629431143 | Melissa Ann Garcia | Nurse Practitioner | 12900 Frederick St Ste C, Moreno Valley, CA 92553-5266 | 2016-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600139 | Margaret Lynn Amin | Nurse Practitioner | 23774 Cedar Creek Ter, Moreno Valley, CA 92557-2902 | 2014-04-24 |
| 1982824405 | Laura Rochelle Ross | Nurse Practitioner | 27350 Iris Ave, Moreno Valley, CA 92555-4802 | 2007-04-26 |
| 1164054383 | Zahra Hakimioun Perfect | Nurse Practitioner | 12900 Frederick St Ste C, Moreno Valley, CA 92553-5266 | 2020-02-05 |
| 1609269836 | Christina Mceligot | Nurse Practitioner | 12900 Frederick St, Unit C, Moreno Valley, CA 92553-5266 | 2015-03-12 |
| 1841265493 | Gloria Ann Davis | Nurse Practitioner | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
| Find all providers with the same taxonomy | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
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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.