MS. KENDRA VENETTA TANKERSLEY (NPI# 1538380951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538380951 |
| Entity Type | Individual |
| Full Name | MS. KENDRA VENETTA TANKERSLEY |
| Credential | BS |
| Practice Address |
4010 Watson Plaza Dr 135 Lakewood CA 90712-4037 |
| Practice Telephone | 5624217200 |
| Practice Fax Number | 5624217225 |
| Mailing Telephone | 5624217200 |
| Mailing Fax Number | 5624217225 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4010 WATSON PLAZA DR 135 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-4037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995665 | Jubilee Health Care Management, Inc. | Home Health | 4010 Watson Plaza Dr, Suite 210, Lakewood, CA 90712-4037 | 2005-07-13 |
| 1750827291 | Constance Shin | Marriage & Family Therapist | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2017-01-09 |
| 1700140282 | Sandra Lee Flores | Social Worker | 4010 Watson Plaza Dr, Suite 285, Lakewood, CA 90712-4037 | 2012-06-28 |
| 1730323866 | China Keyonnie Gassoway Stevenson | Case Manager/Care Coordinator | 4010 Watson Plaza Dr, Suite 135, Lakewood, CA 90712-4037 | 2009-04-20 |
| 1538302773 | Richard Carl Romero | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1346483583 | Jacqueline N Gomez | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-04-17 |
| 1861638256 | Adriana Michelle Meza | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2009-01-06 |
| 1538339627 | Maribel Contreras | Counselor | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2008-03-05 |
| 1649476425 | Crittenton Services for Children and Families | Community/Behavioral Health | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-06-27 |
| 1962520205 | Yoshika Okada Sincock | Marriage & Family Therapist | 4010 Watson Plaza Dr, Lakewood, CA 90712-4037 | 2007-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289944 | Createwellness LLC | Social Worker | 5250 Hayter Avenue, Lakewood, CA 90712 | 2020-09-14 |
| 1801451398 | Marilou Toquero Dental Corp | Durable Medical Equipment & Medical Supplies | 3203 Carson St Suite 2, Lakewood, CA 90712 | 2019-05-09 |
| 1225510126 | N Ozder Dental Practice Inc | Clinic/Center | 5037 Lakewood Blvd, Lakewood, CA 90712 | 2018-09-06 |
| 1003394446 | Robert Michael Schlesinger | Counselor | 5150 Candlewood St Ste 13a, Lakewood, CA 90712 | 2018-07-28 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1316477938 | Broadleaf Healthcare | Orthotist | 4345 Levelside Ave, Lakewood, CA 90712 | 2017-06-15 |
| 1679008049 | Adrienne Yoshiko Doi | Podiatrist | 3700 East South Street, Lakewood, CA 90712 | 2017-04-24 |
| 1841747334 | Garrison R Weaver-gourdeau | Chiropractor | 4115 E. South St, Lakewood, CA 90712 | 2016-09-01 |
| 1073967394 | Mirna S Rizkalla | Family Medicine | 3650 South St Ste 404, Lakewood, CA 90712 | 2016-04-22 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| Find all providers in zip 90712 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337240 | Marta Grazyna Stec | Rehabilitation Practitioner | 351 S Estes St Apt 23, Lakewood, CO 80226-2984 | 2020-02-05 |
| 1821642919 | True Therapy Consultants of Colorado LLC | Rehabilitation Practitioner | 12245 W Arizona Ave, Lakewood, CO 80228-3607 | 2019-07-28 |
| 1841657251 | Roxanna Jimenez | Rehabilitation Practitioner | 5818 Clark Ave, Lakewood, CA 90712 | 2016-01-15 |
| 1225349210 | Arnitha Rena Masenheimer | Rehabilitation Practitioner | 2716 Brewer St, Lakewood, CA 90712-2100 | 2010-06-24 |
| 1053938365 | Flowing Water Watsu Aquatic Therapy Inc | Rehabilitation Practitioner | 351 S Estes St Apt 23, Lakewood, CO 80226-2984 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
| 1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
| 1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
| 1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
| 1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
| 1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
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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.