Kendra Marie Wright, BSN, RN, CRRN, CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704275755 Issued in MI

Practice address

7274 4 Mile Rd NE
Ada, MI 49301-8164

Phone

(616) 617-9511

Fax

(616) 617-9511

NPI assigned

Oct 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Rehab Consultants

  • Case Manager/Care Coordinator
  • Ada, MI
  • NPI 1376053819

  Registered Nurse

  NPD (past) Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1427568963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 HEADLEY ST SE UNIT 196",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493014506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7274 4 MILE RD NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018164",
            "telephone_number": "616-617-9511",
            "fax_number": "616-617-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KENDRA",
        "middle_name": "MARIE",
        "credential": "BSN, RN, CRRN, CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704275755",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704275755",
            "primary": true
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "MI",
            "license": "4704275755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Miller LLC
• Caroline Elaine Wilbon, CERTIFIED NURSE ASSI
• Brooke Marie Wilkie
• Molly Rose Wilson, PH.D., LLPC
• Amanda I Worst, LMSW
• Mary E Yost, M.A. CCC-SLP
• Janelle Marie Youngdahl, PHD
• Zen Care Rehabilitation Services

• Case Management Registered Nurse in Ada, MI
• Providers in Ada, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.