KENDRA GRAY LEE (NPI# 1275021651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275021651 |
| Entity Type | Individual |
| Full Name | KENDRA GRAY LEE |
| Practice Address |
4427 Emerson St Jacksonville FL 32207-4969 |
| Practice Telephone | 9043987015 |
| Practice Fax Number | 9043460837 |
| Mailing Telephone | 9043987015 |
| Mailing Fax Number | 9043460837 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1467433771 | Kendra Michelle Lee | Physical Therapist | 115 Smelter Ave Ne, Suite 104, Great Falls, MT 59404-1963 | 2005-11-14 |
| 1982600359 | Kendra B. Lee | Family Medicine | 500 W Broadway St, Missoula, MT 59802-4008 | 2005-06-21 |
| 1558970947 | Kendra Lynice Lee | Social Worker | 215 Walnut St Ste 2, Gadsden, AL 35901-5254 | 2020-07-30 |
| 1992323042 | Kendra Dawn Lee | Pharmacist | 301 Greene St, Marietta, OH 45750-3134 | 2020-07-06 |
| 1881173136 | Kendra Lee | Nurse Practitioner | 230 W Washington Sq, Fl 3, Philadelphia, PA 19106-3500 | 2018-08-08 |
| 1386143501 | Kendra Lorraine Lee | Nurse Practitioner | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-02-02 |
| 1710486980 | Kendra Taylor Lee | Massage Therapist | 1756 Iowa St, Bellingham, WA 98229-4702 | 2018-02-02 |
| 1477933216 | Kendra Lee | Physical Therapy Assistant | 11 E Augusta Pl, Greenville, SC 29605-1755 | 2015-06-07 |
| 1255664389 | Kendra L Lee | Counselor | 2200 North Loop W, Suite# 351, Houston, TX 77018-8009 | 2009-09-08 |
| Street Address |
4427 EMERSON ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-4969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1316436546 | Joseph Caravella | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-03 |
| 1619465093 | Vanetta K Sinclair | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1689162091 | Alicia Renee Reynolds | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514670 | William George Beasley Jr. | Counselor | 205 Sherwood Rd, Jacksonville, NC 28540-5534 | 2020-09-28 |
| 1881200053 | Sarah M Allen | Counselor | 307 Angelina St, Jacksonville, TX 75766-9212 | 2020-09-22 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1982234100 | Sherree Smith | Counselor | 934 Lynchburg Dr, Jacksonville, NC 28546-4560 | 2020-01-16 |
| 1982266490 | Fernette R Hoag | Counselor | 3955 Riverside Ave Ste 211, Jacksonville, FL 32205-3312 | 2019-07-04 |
| 1942796347 | Gods House of Solomon | Counselor | 1709 Helena St, Jacksonville, FL 32208-3692 | 2018-07-09 |
| 1295223600 | Ronald North | Counselor | 4427 Emerson St, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1649768037 | Tiffany Angela Yarbough | Counselor | 4427 Emerson St # 4308, Jacksonville, FL 32207-4969 | 2018-05-01 |
| 1588160303 | Julie Margarita Smith | Counselor | 720 Seabrook Pkwy, Jacksonville, FL 32211-7153 | 2018-04-02 |
| 1689172587 | Rittie Ann Ragland | Counselor | 4720 S. Salisbury Rd Ste 103, Jacksonville, FL 32256-6101 | 2018-01-25 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
Please comment or provide details below to improve the information on KENDRA GRAY LEE.
| 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.