Individual provider Active NPI

Kendra Renee Rease, CARE COORDINATOR

  • Case Manager/Care Coordinator
  • Oakland, CA
National Provider Identifier
1285401489
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
700 Adeline St
Oakland, CA 94607-2608
Phone
(510) 835-9610
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

700 Adeline St
Oakland, CA 94607-2608

Mailing address

700 Adeline St
Oakland, CA 94607-2608
Phone (510) 835-9610

Other practice location 1

10621 International Blvd
Oakland, CA 94603-3805
Phone (510) 835-9610 ext. 2025

Other practice location 2

7450 International Blvd
Oakland, CA 94621-2806
Phone (510) 835-9610 ext. 2025

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

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1285401489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "510-835-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10621 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946033805",
            "country_code": "US",
            "telephone_number": "510-835-9610 x2025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946212806",
            "country_code": "US",
            "telephone_number": "510-835-9610 x2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REASE",
        "first_name": "KENDRA",
        "middle_name": "RENEE",
        "credential": "CARE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.