KENDRA KING I (NPI# 1447623236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447623236 |
| Entity Type | Individual |
| Full Name | KENDRA KING I |
| Practice Address |
5109 World Dairy Dr Madison WI 53718-3807 |
| Mailing Address |
324 Clark St Randolph WI 53956-1201 |
| Practice Telephone | 6082420220 |
| Practice Fax Number | 6082421166 |
| Mailing Telephone | 6082390933 |
| Mailing Fax Number | 6082421166 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 312037-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689175606 | Kendra M King | Social Worker | 6401 Ivory Palm Dr, Charlotte, NC 28227-2434 | 2018-02-25 |
| 1205482551 | Kendra King | Physician Assistant | 75 Francis St, Boston, MA 02115-6106 | 2019-08-13 |
| 1497307995 | Kendra M King | Case Manager/Care Coordinator | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-07-15 |
| 1619345790 | Kendra King | Specialist/Technologist | 22593 Three Notch Rd, Apt 111, California, MD 20619-3054 | 2015-09-08 |
| 1437438728 | Kendra King | Physician Assistant | 800 Rose St, Lexington, KY 40536-0001 | 2011-08-04 |
| 1518011642 | Kendra Tay King | Family Medicine | 409 W Ferguson St, Tyler, TX 75702-5632 | 2007-01-23 |
| 1255443586 | Kendra King | Social Worker | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2006-08-31 |
| Street Address |
5109 WORLD DAIRY DR |
| City | MADISON |
| State | WI |
| Zip Code | 53718-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194992404 | Milwaukee Health Services System, LLC | Clinic/Center | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2008-05-15 |
| 1255947313 | Jackie L Moretti | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2020-09-23 |
| 1508487695 | Bethany Marie Shoemaker | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2020-04-30 |
| 1013547793 | Janine L Williams | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2020-01-22 |
| 1306476403 | Amy E Zellman | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2020-01-17 |
| 1588200125 | Keith E Hampton | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-11-19 |
| 1669021085 | Brian D Cook | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-09-09 |
| 1588218861 | Dennis R Elmergreen | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-07-25 |
| 1689233439 | August Michael Viegut II | Counselor | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-06-06 |
| 1316405731 | Linda Lee Richardson | Registered Nurse | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475607 | Suchart Thammahong | Pharmacist | 734 Mclean Drive, Madison, Wi, WI 53718 | 2020-10-21 |
| 1780033431 | Elizabeth C Armstrong | Registered Nurse | 2810 Crossroads Dr Ste 4000, Madison, WI 53718 | 2016-06-03 |
| 1811356926 | Quirt Family Dentistry, Sc | Dentist | 6038 Gemini Drive, Madison, WI 53718 | 2016-02-17 |
| 1831583145 | Madison Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5115 N Biltmore Ln, Madison, WI 53718 | 2015-03-25 |
| 1972919959 | Hannah E Kussler | Physician Assistant | The American Center, 4602 Eastpark Blvd, Madison, WI 53718 | 2014-07-10 |
| 1104187079 | Kaitlin Hellenbrand | Occupational Therapist | 5249 East Terrace Drive, Madison, WI 53718 | 2012-06-06 |
| 1003172800 | Wisconsin Hyperbaric Oxygen LLC | Clinic/Center | 4660 S Biltmore Lane, Madison, WI 53718 | 2012-04-05 |
| 1801022850 | Justin Robert Bangert | Marriage & Family Therapist | 5310 Wall St., Ste #500, Madison, WI 53718 | 2009-06-04 |
| 1427292275 | Jane Louise Stroede | Physical Therapy Assistant | 2802 Walton Commons West, Madison, WI 53718 | 2009-04-23 |
| 1003060658 | Candace Leigh Pantoga | Occupational Therapist | 3030 City View Drive, City View Nursing Home, Madison, WI 53718 | 2008-11-10 |
| Find all providers in zip 53718 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484716 | Taneeka Barfield | Licensed Practical Nurse | 168 Ne Gibson Trailer Park Way Lot 10, Madison, FL 32340-2825 | 2020-07-15 |
| 1033751177 | Bionca Buie | Licensed Practical Nurse | 810 Jupiter Dr Apt 304, Madison, WI 53718-2991 | 2019-10-10 |
| 1689135469 | Geraldine Clemons-walker | Licensed Practical Nurse | 2461 Old Camden Sq Apt 104, Madison, WI 53718-8012 | 2019-03-26 |
| 1417449638 | Ashley Renee Zander | Licensed Practical Nurse | 1715 Camus Ln Apt 7, Madison, WI 53705-1204 | 2018-06-04 |
| 1184151466 | Debra Cooks Boatman | Licensed Practical Nurse | 1062 Ne Reagan Rd, Madison, FL 32340-5541 | 2017-05-17 |
| 1972042018 | Shirley Haynes | Licensed Practical Nurse | 219 Sw Third Ave, Madison, FL 32340-2906 | 2017-02-22 |
| 1700329125 | Sheilakay Ann Jowett | Licensed Practical Nurse | 7530 Mid Town Rd Apt 108, Madison, WI 53719-3460 | 2016-12-02 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1114475225 | Jesse Willard | Licensed Practical Nurse | 1128 Morraine View Dr, Unit 301, Madison, WI 53719-3078 | 2016-09-18 |
| 1366809113 | Maria Joseph | Licensed Practical Nurse | 2925 Wimbledon Way, Madison, WI 53713-3427 | 2016-01-25 |
| Find all providers in MADISON | ||||
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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.