Individual provider Active NPI

Kendell Rae Rogers Standifer

  • Case Management Registered Nurse
  • Reno, NV
National Provider Identifier
1558173054
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
836283 Issued in NV
Practice address
8115 Seneca Dr
Reno, NV 89506-9116
Phone
(775) 276-0938
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 836283 NV Primary

Addresses

Primary practice location

8115 Seneca Dr
Reno, NV 89506-9116

Mailing address

8115 Seneca Dr
Reno, NV 89506-9116
Phone (775) 276-0938

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

State licenses

LicenseStateTypeSpecialty
836283NVMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1558173054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 SENECA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069116",
            "telephone_number": "775-276-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 SENECA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069116",
            "telephone_number": "775-276-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDIFER",
        "first_name": "KENDELL",
        "middle_name": "RAE ROGERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NV",
            "license": "836283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.