KENDRA JO POULSEN (NPI# 1669949319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669949319 |
| Entity Type | Individual |
| Full Name | KENDRA JO POULSEN |
| Other Name | KENDRA JO HALL |
| Credential | REGISTERED NURSE |
| Practice Address |
297 Nevada Northern Rail Way Ste 5 Ely NV 89301-2807 |
| Mailing Address |
Hc 10 Box 40 Pioche NV 89043-9401 |
| Practice Telephone | 7752936558 |
| Practice Fax Number | 7752891561 |
| Mailing Telephone | 2085892729 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN95615 | NV | Nursing Service Providers |
| Street Address |
297 NEVADA NORTHERN RAIL WAY STE 5 |
| City | ELY |
| State | NV |
| Zip Code | 89301-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098178 | Shannin Pierce | Registered Nurse | 297 Nevada Northern Rail Way Ste 5, Ely, NV 89301-2807 | 2019-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144650722 | Srs-ely LLC | Clinic/Center | 701 East 15th Street, Ely, NV 89301 | 2013-11-19 |
| 1538419650 | Sanderling Renal Services-usa, LLC | Clinic/Center | 701 East 15th St, Ely, NV 89301 | 2012-09-17 |
| 1003942707 | Kent M Robertson Od Inc | Optometrist | 409 Murry St, Ely, NV 89301 | 2007-02-26 |
| 1356442651 | Jeffrey B Willes | Chiropractor | 664 14th Street East, Ely, NV 89301 | 2006-09-26 |
| 1295773752 | Aerocare, Inc. | Durable Medical Equipment & Medical Supplies | 802 Avenue E Ste 124&6, Ely, NV 89301 | 2006-06-04 |
| 1548217409 | Ely Shoshone Tribe | Clinic/Center | 400 Newe View, Ely, NV 89301 | 2006-05-27 |
| 1437145422 | William Bee Ririe Hospital | Emergency Medicine | 6 Steptoe Circle, Ely, NV 89301 | 2005-09-23 |
| 1538669635 | Kenyatta D Weathersby | Community/Behavioral Health | 3925 N. Martin Luther King Blvd, Ste 211, N. Las Vegas, NV 89301 | 2018-02-15 |
| 1225430861 | Amy Sue Barney | Nurse Practitioner | 6 Steptoe Circle, Ely, NV 89301 | 2014-09-25 |
| 1114238540 | David Byun | Internal Medicine | 1500 Avenue H, Ely, NV 89301 | 2010-06-30 |
| Find all providers in zip 89301 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114664 | Greta Yvette Scott | Registered Nurse | 1981 E Calvada Blvd Apt 100, Pahrump, NV 89048-6772 | 2019-10-01 |
| 1295398741 | Tammy Lea Ritter | Registered Nurse | 727 Fairview Dr, Suite A, Carson City, NV 89701 | 2019-04-19 |
| 1780057331 | Barbara Szerega | Registered Nurse | 3173 Pinehurst Dr., Las Vegas, NV 89109 | 2015-11-04 |
| 1689097735 | Lynda C Mccloskey | Registered Nurse | 330 South Valley View, Las Vegas, NV 89110 | 2014-01-27 |
| 1275955171 | Kara Lynn Bennis | Registered Nurse | 625 Shadow Ln Ste 106, Las Vegas, NV 89106-4118 | 2014-01-10 |
| 1609297977 | Marie Ricci | Registered Nurse | 560 N Nellis Blvd Ste E12, Las Vegas, NV 89110-5371 | 2014-01-03 |
| 1760728059 | Sarah Hamrick | Registered Nurse | 1981 E Calvada Blvd Ste 100, Pahrump, NV 89048-5834 | 2012-12-14 |
| 1295876407 | Patricia Montalvo | Registered Nurse | 11076 Romola St, Las Vegas, NV 89141-3410 | 2007-02-09 |
| 1851911572 | Graciela Vaya | Registered Nurse | 3468 E Sahara Ave Ste 105, Las Vegas, NV 89104-4827 | 2020-04-22 |
| 1396370417 | Dena Lee Mattice | Registered Nurse | 26 Nevin Way, Yerington, NV 89447-2327 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.