KENDYL J. HEBERLEIN (NPI# 1336783877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336783877 |
| Entity Type | Individual |
| Full Name | KENDYL J. HEBERLEIN |
| Credential | A.N.P. |
| Practice Address |
1600 East Broadway Columbia MO 65201-5844 |
| Practice Telephone | 5738158000 |
| Practice Fax Number | 5738158556 |
| Mailing Telephone | 5738158000 |
| Mailing Fax Number | 5738158556 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
2014017117 | MO | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
2019041840 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 420079359 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5132 Waterman Blvd Apt 209, Saint Louis, MO 631081137 | 2176172333 |
| Street Address |
1600 EAST BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-5844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992772578 | Robin B. Blount | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2006-03-02 |
| 1043796444 | Stephanie Ann Whitbey | Registered Nurse | 1600 East Broadway, Columbia, MO 65201-5844 | 2018-07-18 |
| 1972954097 | Shambhu Bhagat | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2016-06-30 |
| 1154771178 | Blake John Welschmeyer | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2016-06-21 |
| 1700236882 | Phillip P. Beck | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2016-06-20 |
| 1437503612 | Vidhi Patel | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2016-04-14 |
| 1700268133 | Christopher Paul Schiavo | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2015-06-22 |
| 1255734836 | Stephanie Powell | Nurse Practitioner | 1600 East Broadway, Columbia, MO 65201 | 2014-09-26 |
| 1922356294 | Melissa Renee Koga | Nurse Practitioner | 1600 East Broadway, Columbia, MO 65201-5844 | 2012-08-17 |
| 1144513730 | Jeffrey A. Robinson | Internal Medicine | 1600 East Broadway, Columbia, MO 65201-5844 | 2011-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1639613813 | University of Missouri | Nurse Practitioner | 1100 Virginina Ave, Columbia, MO 65212-0001 | 2016-12-07 |
| 1861428625 | Linda Ann Poquette | Nurse Practitioner | 10832 Symphony Way, Columbia, MD 21044-4921 | 2006-06-24 |
| 1417560889 | Aziz Petiwala | Nurse Practitioner | 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 | 2020-08-26 |
| 1134751084 | James Stewart Morgan | Nurse Practitioner | 1601 Greene St, Columbia, SC 29208-4001 | 2020-02-09 |
| 1457831125 | Deidra M Singleton | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2018-08-21 |
| 1033697362 | Kyle Gross | Nurse Practitioner | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-07-30 |
| 1407333446 | Kimberly Ann Robertson | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2018-07-23 |
| Find all providers in COLUMBIA | ||||
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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.