Active NPI
Merri Kay Kendle, LPN
- Licensed Practical Nurse
- Tacoma, WA
National Provider Identifier
1104128982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00056767
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-2858 - Phone
- (253) 968-3529
- Fax
- (253) 968-2895
- NPI assigned
- Nov 29, 2010
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00056767 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-2858
Mailing address
2816 Garden CT Apt D
Steilacoom, WA 98388-2865
Phone (253) 380-2593
Other practice location 1
9330 59th Ave SW
Lakewood, WA 98499-2858
Phone (253) 620-5015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP00056767 | Other | WA | PROVIDER CREDENTIAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP00056767 | WA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104128982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 GARDEN CT APT D",
"city": "STEILACOOM",
"state": "WA",
"postal_code": "983882865",
"telephone_number": "253-380-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984312858",
"telephone_number": "253-968-3529",
"fax_number": "253-968-2895"
}
],
"practiceLocations": [
{
"address_1": "9330 59th Ave SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984992858",
"country_code": "US",
"telephone_number": "253-620-5015",
"fax_number": "253-620-5831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDLE",
"first_name": "MERRI",
"middle_name": "KAY",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00056767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER CREDENTIAL",
"identifier": "LP00056767",
"state": "WA"
}
],
"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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.