Individual provider Active NPI

Lashawnda R Kenner

  • Registered Nurse
  • Fort Totten, ND
National Provider Identifier
1245877984
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R46203 Issued in ND
Practice address
816 3Rd Ave N
Fort Totten, ND 58335-9998
Phone
(701) 766-4236
Fax
(701) 766-4878
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R46203 ND Primary

Addresses

Primary practice location

816 3Rd Ave N
Fort Totten, ND 58335-9998

Mailing address

PO Box 480
Fort Totten, ND 58335-0480
Phone (701) 766-4236

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ftc@ftc.directihs.net

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
R46203NDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Lake Tribe PastSince Dec 9, 2019 Accepting new patients
Spirit Lake Tribe Registered Nurse PastSince Dec 9, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ftc@ftc.directihs.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1245877984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350480",
            "telephone_number": "701-766-4236",
            "fax_number": "701-766-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 3RD AVE N",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583359998",
            "telephone_number": "701-766-4236",
            "fax_number": "701-766-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "LASHAWNDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ND",
            "license": "R46203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ftc@ftc.directihs.net",
            "affiliation": "N",
            "address_1": "816 3rd Ave N",
            "city": "Fort Totten",
            "state": "ND",
            "country_code": "US",
            "postal_code": "583359998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Totten, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.