Kendall McKinley Vannostrand, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1245 Issued in NM

Practice address

805 Early St Ste B102
Santa Fe, NM 87505-1707

Phone

(505) 216-1119

Fax

(505) 349-4748

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1033743174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "TESUQUE",
            "state": "NM",
            "postal_code": "875740038",
            "telephone_number": "505-819-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EARLY ST STE B102",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051707",
            "telephone_number": "505-216-1119",
            "fax_number": "505-349-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOSTRAND",
        "first_name": "KENDALL",
        "middle_name": "MCKINLEY",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendallvannostrand@solwellness.clinic",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Sol Wellness",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "805 Early St Ste B102",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875051707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Michael Dean Vansice, MSW, LISW
• Kenneth Wayne Vansickle Jr., D.M.D
• Robin Vanzelst, BMS
• Candace Varela

• Acupuncturist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.