Individual provider Active NPI

Kendra Lashon Foreman, APRN

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1366924763
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
226350 Issued in AZ
Practice address
1230 W 24TH St
Ste 1
Yuma, AZ 85364-6232
Phone
(928) 314-3702
Fax
(928) 314-4687
NPI assigned
Aug 31, 2018
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 226350 AZ Primary

Addresses

Primary practice location

1230 W 24TH St
Ste 1
Yuma, AZ 85364-6232

Mailing address

1230 W 24TH St
Ste 1
Yuma, AZ 85364-6232
Phone (928) 314-3702

Other identifiers 3

IdentifierTypeStateIssuer
3012282OtherKYKY BOARD OF NURSING
A005485OtherARARKANSAS BOARD OF NURSING
226350OtherAZARIZONA BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kendra.foreman1@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715003162 AZ Practitioner - Nurse Practitioner 1850626755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abc Neurology PLLCGroup PAC ID 1153317599, 4 clinicians

Practice addresses (Care Compare)

1230 W 24TH St
Suite 1
Yuma, AZ 85364-6232
Phone (928) 314-3702

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.78 of 100Reported as group
Quality
86.1
Improvement activities
40
Cost
75.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Neurology, P.L.L.C. CurrentSince Jul 1, 2019 Accepting new patients

Locations

1230 W 24th St
Ste 1
Yuma, AZ 85364
Phone (928) 314-3702

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1366924763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 W 24TH ST",
            "address_2": "STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646232",
            "telephone_number": "928-314-3702",
            "fax_number": "928-314-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 W 24TH ST",
            "address_2": "STE 1",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646232",
            "telephone_number": "928-314-3702",
            "fax_number": "928-314-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREMAN",
        "first_name": "KENDRA",
        "middle_name": "LASHON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "226350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY BOARD OF NURSING",
            "identifier": "3012282",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF NURSING",
            "identifier": "A005485",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF NURSING",
            "identifier": "226350",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kendra.foreman1@gmail.com",
            "affiliation": "N",
            "address_1": "1230 W 24th St",
            "address_2": "Ste 1",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853646232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.