Active NPI
Loretta Kendricks, CRNA
- Certified Registered Nurse Anesthetist
- Gallup, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209004287
- Practice address
- 516 East Nizhoni Blvd.
Gallup, NM 87301-1337 - Phone
- (505) 722-1000
- Fax
- (505) 722-1421
- NPI assigned
- Dec 14, 2005
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209004287 | IL | Primary |
Addresses
Primary practice location
516 East Nizhoni Blvd.
Gallup, NM 87301-1337
Mailing address
PO Box 1337
Gallup, NM 87305-1337
Phone (505) 722-1000
Other practice location 1
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkendricks57555@blessing.medalliesdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209004287 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients | |
| Amsol Anesthetists of Illinois, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Marion Hospital Corporation | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Mymichigan Medical Center Tawas | Past | Accepting new patients | |
| Granite City Clinic Corp | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Figueroa and Associates Anesthesia Group, LTD. | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
1005 Broadway St
Quincy, IL 62301
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1255515342
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Certified Registered Nurse Anesthetist
- Effingham, IL
- NPI 1831257682
Nurse Anesthetist, Certified Registered
-
- Specialist
- Alton, IL
- NPI 1831198357
-
- Certified Registered Nurse Anesthetist
- Granite City, IL
- NPI 1003892464
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
-
- Anesthesiology Physician
- Marion, IL
- NPI 1356327282
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1245215938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1337",
"city": "GALLUP",
"state": "NM",
"postal_code": "873051337",
"telephone_number": "505-722-1000",
"fax_number": "505-722-1421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 EAST NIZHONI BLVD.",
"city": "GALLUP",
"state": "NM",
"postal_code": "873011337",
"telephone_number": "505-722-1000",
"fax_number": "505-722-1421"
}
],
"practiceLocations": [
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"fax_number": "217-223-9552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDRICKS",
"first_name": "LORETTA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209004287",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkendricks57555@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1005 Broadway St",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012834",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.