Kendra L McLester, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

RN117155 Issued in GA

Practice address

155 Medical Way
Suite B
Riverdale, GA 30274-4940

Phone

(770) 909-5003

Fax

(770) 909-5004

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

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.

• Premier Womens OBGYN, LLC

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
  • NPI 1083819429
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Diana Health TN, PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
  • NPI 1457020844
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1194788034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SUMMER LEIGH DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815897",
            "telephone_number": "770-389-9447",
            "fax_number": "770-785-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEDICAL WAY",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744940",
            "telephone_number": "770-909-5003",
            "fax_number": "770-909-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLESTER",
        "first_name": "KENDRA",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "GA",
            "license": "RN117155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Efiong E. Mbaba, REGISTERED NURSE
• Dominique Mary McCray
• Terry L McCulloch, DDS
• Nikitress McGill
• Monica McIntyre, DDS
• Eric McNeil
• Sydney Monet McTier
• Med South Associates PC 2 LLC
• Medsouth Associates PC
• Jada Wingo Metcalf

• Midwife in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.