Kendra Venetta Tankersley, BS

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4010 Watson Plaza Dr
135
Lakewood, CA 90712-4037

Phone

(562) 421-7200

Fax

(562) 421-7225

NPI assigned

May 2, 2007

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1538380951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR",
            "address_2": "135",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124037",
            "telephone_number": "562-421-7200",
            "fax_number": "562-421-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR",
            "address_2": "135",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124037",
            "telephone_number": "562-421-7200",
            "fax_number": "562-421-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKERSLEY",
        "first_name": "KENDRA",
        "middle_name": "VENETTA",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Tallent
• Anna Talonova
• James Kim Tan, D.D.S.
• Kevin Tan
• Layheang Tang, PHARMD
• Taryn Tanner, NP
• Roger Milton Tauran, M.D., M.P.H.
• Michelle Taylor
• Rian Taylor, DOULA
• Arielle Teabout

• Rehabilitation Practitioner in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.