Kendrick Bates

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

205 E 2ND St
Blue Earth, MN 56013-1905

Phone

(228) 224-6126

NPI assigned

Jun 29, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luminary Guiding Light

  • Local Education Agency (LEA)
  • Blue Earth, MN
  • NPI 1184469132
  NPD Authorized official
• Save the Children Group Home

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Blue Earth, MN
  • NPI 1457196404
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1003651050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560131905",
            "telephone_number": "228-224-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 2ND ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560131905",
            "telephone_number": "228-224-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KENDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelesia Lynn Armendariz
• Associate Optometry, P.a.
• B E Drug Inc
• B.E. Drug, Inc.
• Mollie Baldus, M.A., CCC-SLP
• Blue Earth Family Dental Inc
• Blue Earth Valley Eye Clinic LTD
• Robyn Braunshasuen, RN
• Angela J Brown, SFA
• Janel Buseman, RPH

• Peer Specialist in Blue Earth, MN
• Providers in Blue Earth, MN by specialty
• Peer Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.