JOEL KENDRICK (NPI# 1619320793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619320793 |
| Entity Type | Individual |
| Full Name | JOEL KENDRICK |
| Practice Address |
1120 S Utica Ave Tulsa OK 74104-4012 |
| Mailing Address |
6580 Judson Rd Longview TX 75605-7076 |
| Practice Telephone | 8009397440 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 83321 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1120 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214497 | Shawn D Grant | Radiology | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2005-06-13 |
| 1689289910 | Wound Integrity Oklahoma Pa | Family Medicine | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-09-14 |
| 1902428097 | Samantha Beck | Student in an Organized Health Care Education/Training Program | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-05-11 |
| 1447883632 | Jennifer Knowlton | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2020-02-17 |
| 1902443344 | Geoffrey Hopkins | Nurse Anesthetist, Certified Registered | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-12-04 |
| 1598307902 | Patrick Brennan | Physical Therapy Assistant | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-10-17 |
| 1215578497 | Ashley Wing | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4090 | 2019-09-30 |
| 1033768197 | Dawna Lynnette Hendrix | Occupational Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-09-10 |
| 1417502212 | Jeffrey Jackson | Physical Therapist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-08-08 |
| 1952954349 | Janis Elaine Jeffus | Speech-Language Pathologist | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2019-07-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1124473665 | Hernan Aguilos | Nurse Anesthetist, Certified Registered | 1923 S Utica Ave Fl 3, Tulsa, OK 74104-6520 | 2016-05-03 |
| 1740664978 | Ariana King | Nurse Anesthetist, Certified Registered | 1924 S Utica Ave, Tulsa, OK 74104-6510 | 2015-07-17 |
| 1396144580 | Matthew Wayne Milby | Nurse Anesthetist, Certified Registered | 2647 E 20th St, Tulsa, OK 74104-5811 | 2014-08-14 |
| 1831532068 | Lauren Nicole Garrison | Nurse Anesthetist, Certified Registered | 18602 E 50th Pl, Tulsa, OK 74134-7178 | 2013-04-08 |
| 1194001107 | Heather Rae Kendrick | Nurse Anesthetist, Certified Registered | 18103 E 47th St, Tulsa, OK 74134-7413 | 2011-10-24 |
| 1235432956 | Yelena Curtis | Nurse Anesthetist, Certified Registered | 6839 S. Canton Ave., Tulsa, OK 74136 | 2010-12-20 |
| 1609107820 | Kenan James Ryan | Nurse Anesthetist, Certified Registered | 6839 S Canton, Associated Anesthesiologists, Inc., Tulsa, OK 74136-3402 | 2010-01-28 |
| 1801040209 | Muhammad Usman Butt | Nurse Anesthetist, Certified Registered | 4120 S 130th East Ave, Apt # 1113, Tulsa, OK 74134-1132 | 2008-11-12 |
| 1508040924 | Cynthia Reed Hunter | Nurse Anesthetist, Certified Registered | 6947 S Evanston Ave, Tulsa, OK 74136-4512 | 2007-12-20 |
| Find all providers in TULSA | ||||
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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.