Individual provider Active NPI

Kendra Foreman, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Redding, CA
National Provider Identifier
1073026191
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95007714 Issued in CA
Practice address
3062 Churn Creek Rd
Redding, CA 96002-2124
Phone
(530) 221-0976
NPI assigned
Nov 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN274096 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-154446 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226301 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95007714 CA Primary

Addresses

Primary practice location

3062 Churn Creek Rd
Redding, CA 96002-2124

Mailing address

970 Lawshe Rd
Senoia, GA 30276-1988
Phone (619) 309-9410

Other practice location 1

4011 Meridian St N
huntsville, AL 35811
Phone (256) 372-5601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180419000931 CA Practitioner - Nurse Practitioner 0749543015 Reassigns benefits to 3 organizations
I20200624000831 AL Practitioner - Nurse Practitioner 0749543015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront - Murdock Medical Services PCGroup PAC ID 3971866401, 5 clinicians

Practice addresses (Care Compare)

1325 J St
Suite 1550
Sacramento, CA 95814-2976
Phone (972) 449-0540

1428 W N Ave
Lompoc, CA 93436-3961
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226301AZMDPsychiatric/Mental Health Nurse Practitioner
95007714CAMDPsychiatric/Mental Health Nurse Practitioner
RN274096GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc CurrentSince Feb 13, 2020 Accepting new patients
Access Telecare California, P.C. CurrentSince Mar 5, 2025 Accepting new patients
Alabama a&M University Past Accepting new patients

Locations

2 N Jackson St
Ste 605
Montgomery, AL 36104
Phone (855) 515-7260

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

3500 Quakerbridge Rd
#105
Trenton, NJ 08619

Interoperability endpoints

  • Direct secure messaging: kendra.foreman.1@24287.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1073026191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAWSHE RD",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302761988",
            "telephone_number": "619-309-9410",
            "fax_number": "951-672-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022124",
            "telephone_number": "530-221-0976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "huntsville",
            "state": "AL",
            "postal_code": "35811",
            "country_code": "US",
            "telephone_number": "256-372-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "KENDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-11",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN274096",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-154446",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "226301",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95007714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.