Charles David Kent, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

7409 Issued in MN

Practice address

400 Annandale Blvd
Annandale, MN 55302-3141

Phone

(651) 259-3850

NPI assigned

May 19, 2020

Last updated

May 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Behavioral Health Hospital Alexandria

  dba CBHH Alexandria

  • Psychiatric Hospital
  • Alexandria, MN
  • NPI 1386676799
  NPD
• Community Behavioral Health Hospital Annandale

  dba CBHH Annandale

  • Psychiatric Hospital
  • Annandale, MN
  • NPI 1225130487
  NPD

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1437772985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANNANDALE BLVD",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553023141",
            "telephone_number": "651-259-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ANNANDALE BLVD",
            "city": "ANNANDALE",
            "state": "MN",
            "postal_code": "553023141",
            "telephone_number": "651-259-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Johnson, DDS
• Matthew Johnson, DC
• Katherine Marie Kalliomaa, PTA
• Bruce Robert Karg
• Ann Kent, LMFT
• Jessica Lea Kirchoff, OTR/L
• Leah Lackas, OTR/L
• Brooke Lange, OTR/L
• Anthony Lesch, PA-C
• Steven Lochen, LMFT

• Psychiatric/Mental Health Nurse Practitioner in Annandale, MN
• Providers in Annandale, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.