DERRICK LEONDRAS KENNER (NPI# 1447516505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447516505 |
| Entity Type | Individual |
| Full Name | DERRICK LEONDRAS KENNER |
| Practice Address |
2151 College Avenue Bakersfield CA 93302 |
| Mailing Address |
Po Box 1000 Bakersfield CA 93302-1000 |
| Practice Telephone | 6618688080 |
| Practice Fax Number | 6618688087 |
| Mailing Telephone | 6618686601 |
| Mailing Fax Number | 6618686666 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2151 COLLEGE AVENUE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386778777 | Emily Rose Lyles | Social Worker | 2151 College Avenue, Bakersfield, CA 93305 | 2007-03-15 |
| 1902208531 | Charles E Bowden | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-09-26 |
| 1093117285 | Teresa E Benavides | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-09-19 |
| 1790187987 | Joanna Duran | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-09-19 |
| 1013317395 | Kristine Lou Tambio | Registered Nurse | 2151 College Avenue, Bakersfield, CA 93301 | 2014-08-24 |
| 1902212392 | Christina Fix | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-07-07 |
| 1750796843 | Alex K Randall | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-06-26 |
| 1982019501 | Mika D Whiteside | Student in an Organized Health Care Education/Training Program | 2151 College Avenue, Bakersfield, CA 93305 | 2014-06-23 |
| 1306257811 | Jared Chase Brockmiller | Registered Nurse | 2151 College Avenue, Bakersfield, CA 93305 | 2014-05-19 |
| 1073924957 | Priscilla Elizabeth Beavers-silva | Registered Nurse | 2151 College Avenue, Bakersfield, CA 93305 | 2014-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801941802 | Leslie Anne Rich | Case Manager/Care Coordinator | 3300 Truxtun Avenue, Bakersfield, CA 93302 | 2007-01-23 |
| 1619311784 | Advinto Tomas Alejo | Licensed Vocational Nurse | 2151 College Ave., Bakersfield, CA 93302 | 2013-04-19 |
| 1073647350 | Clinica Sierra Vista | Clinic/Center | 301 Brundage Lane, Bakersfield, CA 93302 | 2007-03-16 |
| 1306155387 | Jamie G. Kelley | Marriage & Family Therapist | 1401 L Street, Bakersfield, CA 93302-1000 | 2010-09-24 |
| 1215390711 | Yoel Olazabal Pupo | General Practice | 7800 Niles Street, Bakersfield, CA 93302-1559 | 2016-04-01 |
| 1437299583 | Elisa Nevius | Psychologist | 1730 18th St, Bakersfield, CA 93302-7001 | 2007-02-07 |
| 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 |
|---|---|---|---|---|
| 1851902407 | Kiranjit Kaur Rai | Student in an Organized Health Care Education/Training Program | 11413 Mondego Dr, Bakersfield, CA 93311-9632 | 2020-08-16 |
| 1578186458 | Immaculate P Desilva | Student in an Organized Health Care Education/Training Program | 9727 Casa Del Sol Dr, Bakersfield, CA 93311-3023 | 2020-05-26 |
| 1962069559 | Anaheed Ayoobzadehshirazi | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bakersfield, Ca 93306, Bakersfield, CA 93306 | 2019-05-20 |
| 1700449600 | Jesica Gonzalez | Student in an Organized Health Care Education/Training Program | 6200 Victor St Apt P103, Bakersfield, CA 93308-7007 | 2019-04-16 |
| 1083195721 | Brandon Edwin Davis | Student in an Organized Health Care Education/Training Program | 10815 Polo Dr, Bakersfield, CA 93312-4192 | 2018-08-21 |
| 1619464203 | Sushant Soni | Student in an Organized Health Care Education/Training Program | 111 Bancroft Dr, Bakersfield, CA 93308-1501 | 2018-04-18 |
| 1629572904 | Monica Praveena Kumar | Student in an Organized Health Care Education/Training Program | Clinica Sierra Vista/east Niles Community Health Center, 7800 Niles Street, Bakersfield, CA 93306-4937 | 2018-03-21 |
| 1245752500 | Hussien Saab | Student in an Organized Health Care Education/Training Program | 1700 Mount Vernon Ave Bldg 4, Bakersfield, CA 93306-4018 | 2017-07-07 |
| 1033647482 | Stephanie Ramirez Pimentel | Student in an Organized Health Care Education/Training Program | 17824 Quality Rd, Bakersfield, CA 93308-9223 | 2017-05-30 |
| 1164958120 | Gurvijay Bains | Student in an Organized Health Care Education/Training Program | 10904 Vista Ridge Dr, Bakersfield, CA 93311-3236 | 2017-05-11 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93302 |
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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.