Individual provider Active NPI

Allison Lynn Kendziora, LPN

  • Licensed Practical Nurse
  • Tacoma, WA
National Provider Identifier
1053540393
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP00053321 Issued in WA
Practice address
1201 S. Proctor
Comprehensive Mental Health/Pearl Street Center
Tacoma, WA 98465
Phone
(253) 396-5930
Fax
(253) 566-2252
NPI assigned
Jul 8, 2009
Last updated
Jul 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP00053321 WA Primary

Addresses

Primary practice location

1201 S. Proctor
Comprehensive Mental Health/Pearl Street Center
Tacoma, WA 98465

Mailing address

1201 S. Proctor
Comprehensive Mental Health/Pearl Street Center
Tacoma, WA 98465
Phone (253) 396-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP00053321WAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1053540393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. PROCTOR",
            "address_2": "COMPREHENSIVE MENTAL HEALTH/PEARL STREET CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98465",
            "telephone_number": "253-396-5930",
            "fax_number": "253-566-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S. PROCTOR",
            "address_2": "COMPREHENSIVE MENTAL HEALTH/PEARL STREET CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98465",
            "telephone_number": "253-396-5930",
            "fax_number": "253-566-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDZIORA",
        "first_name": "ALLISON",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00053321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.