Individual provider Active NPI

Ronald Dalton Kendall Jr., NRP, RN

  • Student in an Organized Health Care Education/Training Program
  • Christiansburg, VA
National Provider Identifier
1558160077
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
850 Tower Rd
Christiansburg, VA 24073-4112
Phone
(276) 395-1137
NPI assigned
Mar 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X E062005101 VA
Registered Nurse 163W00000X 0001282216 VA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

850 Tower Rd
Christiansburg, VA 24073-4112

Mailing address

850 Tower Rd
Christiansburg, VA 24073-4112
Phone (276) 395-1137

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E062005101VAMDParamedic
0001282216VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1741392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1558160077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 TOWER RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734112",
            "telephone_number": "276-395-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TOWER RD",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240734112",
            "telephone_number": "276-395-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "RONALD",
        "middle_name": "DALTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NRP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "VA",
            "license": "E062005101",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001282216",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.