Rebecca Ann Kenderes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

018057 Issued in NY

Practice address

1401 Fellows St
Scranton, PA 18504-2222

Phone

(570) 591-5280

NPI assigned

Oct 9, 2014

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

Other identifiers 1

Other names 1

• Rebecca Ann Friemann Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: rebeccak@thewrightcenter.medentdirect.com

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245634989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S FRANKLIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023808",
            "telephone_number": "570-591-5283",
            "fax_number": "570-591-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FELLOWS ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042222",
            "telephone_number": "570-591-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Masonic Avenue",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NY",
            "postal_code": "13316",
            "country_code": "US",
            "telephone_number": "315-245-3192",
            "fax_number": "315-245-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDERES",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "018057",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebeccak@thewrightcenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "HISP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1401 Fellows St",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185042222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FRIEMANN",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Kelly, LSW
• Jeffrey Kelly
• Kimberly Sue Kelly, PA-C
• Lindsey Connors Kelly, OD
• Michael Kenderes, M.D.
• Lataviana Divine Kendricks
• Barbara C. Kennedy, M.S., R.D., L.D.N.
• Brigid Elizabeth Kennedy, PA-C
• Kenneth H. Rudolph, M.D.
• Brandi Elizabeth Kenney, PA-C

• Physician Assistant in Scranton, PA
• Providers in Scranton, PA by specialty
• Physician Assistant in Pennsylvania

• 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.

Verify at the official NPI Registry.