Active NPI
Kynadie Andrews
- Social Worker
- Clovis, NM
National Provider Identifier
1255047882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1200 N Thornton St Ste H
Clovis, NM 88101-5508 - Phone
- (575) 935-4411
- NPI assigned
- Jan 26, 2023
- Last updated
- Jan 26, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1200 N Thornton St Ste H
Clovis, NM 88101-5508
Mailing address
1200 N Thornton St Ste H
Clovis, NM 88101-5508
Phone (575) 935-4411
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matt 25 Inc. | Current | Accepting new patients |
Locations
1200 N Thornton St
Ste H
Clovis, NM 88101
Phone (575) 935-4411
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1255047882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N THORNTON ST STE H",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881015508",
"telephone_number": "575-935-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N THORNTON ST STE H",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881015508",
"telephone_number": "575-935-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "KYNADIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.