Active NPI
Kendra Niehaus
- Licensed Practical Nurse
- Garnavillo, IA
National Provider Identifier
1386555282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- P62723
- Practice address
- 24392 Holly Ave
Garnavillo, IA 52049-8101 - Phone
- (563) 880-6960
- NPI assigned
- Sep 17, 2026
- Last updated
- Sep 17, 2026
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P62723 | IA | Primary |
Addresses
Primary practice location
24392 Holly Ave
Garnavillo, IA 52049-8101
Mailing address
24392 Holly Ave
Garnavillo, IA 52049-8101
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": "1789603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1386555282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24392 HOLLY AVE",
"city": "GARNAVILLO",
"state": "IA",
"postal_code": "520498101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24392 HOLLY AVE",
"city": "GARNAVILLO",
"state": "IA",
"postal_code": "520498101",
"telephone_number": "563-880-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEHAUS",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "IA",
"license": "P62723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garnavillo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.