Kendis Moore Drake, RN,NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN038738 Issued in AZ

Practice address

1008 E McDowell Rd
Phoenix, AZ 85006-2603

Phone

(602) 393-0661

Fax

(602) 254-3474

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 N DROMEDARY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182952",
            "telephone_number": "602-952-9074",
            "fax_number": "602-840-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062603",
            "telephone_number": "602-393-0661",
            "fax_number": "602-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "KENDIS",
        "middle_name": "MOORE",
        "credential": "RN,NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN038738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Jo Drahota, PSYD
• Krista Drain
• Anthony M Drake, RN
• Celia A. Drake, PHD
• Kelly Drake, PA
• Kristine Drake, PA-C
• Lauren Drake
• Nadia Drake
• Rebekah Lynn Drake
• Milutin Drakulovic, D.D.S.

• Women's Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.