Active NPI
Kendra Ludwig Nagey, CRNP
- Pediatric Nurse Practitioner
- Rifle, CO
National Provider Identifier
1104217983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R197297
- Practice address
- 195 W 14TH Ste C
Rifle, CO 81650-4717 - Phone
- (970) 945-2840
- NPI assigned
- Feb 14, 2015
- Last updated
- Jun 17, 2020
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R197297 | MD | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- 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.