Individual provider Active NPI

Kendra Ludwig Nagey, CRNP

  • Pediatric Nurse Practitioner
  • Rifle, CO
National Provider Identifier
1104217983
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R197297 Issued in MD
Practice address
195 W 14TH Ste C
Rifle, CO 81650-4717
Phone
(970) 945-2840
NPI assigned
Feb 14, 2015
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R197297 MD Primary

Addresses

Primary practice location

195 W 14TH Ste C
Rifle, CO 81650-4717

Mailing address

200 Forbes St
#200
Annapolis, MD 21401-1538
Phone (410) 263-6363

Other practice location 1

200 Forbes St
#200
Annapolis, MD 21401-1538
Phone (410) 263-6363

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
R197297MDMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kendra.nagey.p1@direct.mfhc.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1104217983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FORBES ST",
            "address_2": "#200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011538",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 14TH STE C",
            "city": "RIFLE",
            "state": "CO",
            "postal_code": "816504717",
            "telephone_number": "970-945-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Forbes St",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011538",
            "country_code": "US",
            "telephone_number": "410-263-6363",
            "fax_number": "410-263-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGEY",
        "first_name": "KENDRA",
        "middle_name": "LUDWIG",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R197297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rifle, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.