KENDRA M KING (NPI# 1497307995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497307995 |
| Entity Type | Individual |
| Full Name | KENDRA M KING |
| Practice Address |
54 N 200 E Cedar City UT 84720-2615 |
| Mailing Address |
474 W 200 N St George UT 84770-4505 |
| Practice Telephone | 4355862515 |
| Practice Fax Number | 4358657606 |
| Mailing Telephone | 4356345600 |
| Mailing Fax Number | 4359868700 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 11358550-3503 | UT | Other 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 |
| 1447623236 | Kendra King I | Licensed Practical Nurse | 5109 World Dairy Dr, Madison, WI 53718-3807 | 2015-11-03 |
| 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 |
54 N 200 E |
| City | CEDAR CITY |
| State | UT |
| Zip Code | 84720-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841496924 | Joni D Bickley | Social Worker | 54 N 200 E, Cedar City, UT 84720-2615 | 2007-06-25 |
| 1093340325 | Anthony Arthur Obendorf | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2020-03-06 |
| 1598390205 | Kim Marie Lyons | Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2020-03-03 |
| 1396383543 | Asia Arrianna Negron | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-12-18 |
| 1235771510 | Delanie Drake | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-10-08 |
| 1023666393 | Amanda Louise Ruhr | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-08-29 |
| 1881256782 | Sheslina Kumari | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-07-01 |
| 1417518580 | Rhiannon R Kelsey | Peer Specialist | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-06-27 |
| 1801360052 | Linda Jayde Udall | Counselor | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-01-21 |
| 1396218889 | Christopher Scott Dreitzler | Behavior Technician | 54 N 200 E, Cedar City, UT 84720-2615 | 2019-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255907 | Todd Shakespeare | Pharmacist | 1330 S Providence, Cedar City, UT 84720 | 2020-11-02 |
| 1376165530 | Kirsten Leigh Graham | Psychologist | 351 W University Blvdgeneral Classrooms 308-o, General Classrooms 308-o, Cedar City, UT 84720 | 2020-05-11 |
| 1629556055 | Advanced Balance and Physical Therapy LLC | Clinic/Center | 856 Sage Dr Ste 301b, Cedar City, UT 84720 | 2018-07-28 |
| 1871012567 | Michael Angelo Dawson | Technician, Other | 245 E 680 N, Cedar City, UT 84720 | 2017-09-13 |
| 1114441441 | Asd Sleep LLC | Prosthetic/Orthotic Supplier | 1957 W Royal Hunte Dr, #250, Cedar City, UT 84720 | 2017-07-28 |
| 1073988077 | Southwest Utah Community Health Center | Clinic/Center | 245 East 680 South, Family Healthcare Center East Clinic, Cedar City, UT 84720 | 2015-12-02 |
| 1750710455 | Matthew Reiser | Psychologist | 136 West Center St, Southern Utah University Caps, Cedar City, UT 84720 | 2013-11-04 |
| 1619249471 | Debra Heath | Licensed Practical Nurse | 440 North Paiute Dr., Cedar, UT 84720 | 2012-02-08 |
| 1942591441 | Glendon Arly Pedersen | Technician, Health Information | 57 N. 200 E., Cedar City, UT 84720 | 2011-05-02 |
| 1457642407 | Cody Wayne Hutchings | Technician, Other | 54 North 200 East, Cedar City, UT 84720 | 2011-04-26 |
| Find all providers in zip 84720 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891926986 | Andrew Brent Tanner | Case Manager/Care Coordinator | 170 Altamira Ave, Cedar City, UT 84720 | 2009-08-06 |
| 1447427166 | Carol Gibbs | Case Manager/Care Coordinator | 170 E Altamira Dr, Cedar City, UT 84720-3509 | 2008-05-12 |
| 1619510732 | Kelsey Sanders | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-10-21 |
| 1992360507 | Michael Patrick Hourigan | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-05-08 |
| 1144781808 | James L Mortensen | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-26 |
| 1528527637 | Tyler Scott Tatton | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-18 |
| 1992264485 | Shelley Lynn Sanchez | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2019-03-14 |
| 1144710807 | Haley Anne Mackelprang | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2018-05-17 |
| 1700258985 | Jill Decker | Case Manager/Care Coordinator | 54 N 200 E, Cedar City, UT 84720-2615 | 2015-10-27 |
| 1942686001 | Alyssa Spens | Case Manager/Care Coordinator | 245 E 680 S, Cedar City, UT 84720-3593 | 2015-07-30 |
| Find all providers in CEDAR CITY | ||||
| City | CEDAR CITY |
| Zip Code | 84720 |
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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.