Kendra D Dvorak, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

111673 Issued in NE

Practice address

4214 38TH St
Columbus, NE 68601-1616

Phone

(402) 564-1338

Fax

(402) 564-8902

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kendra D Krueger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1588071815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1394",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686021394",
            "telephone_number": "402-564-1338",
            "fax_number": "402-564-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 38TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011616",
            "telephone_number": "402-564-1338",
            "fax_number": "402-564-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "KENDRA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "111673",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "111673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "KRUEGER",
            "middle_name": "D",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyenne Jordyn Drudik, PLADC
• Shureese Marie Drummond
• Amber Duncan
• Tammy Dunn
• Carlie Kay Dush
• Dynamic Life Therapy and Wellness PC
• East Central District Health Department
• East Central District Health Department Reproductive Health Clinic
• Wendy Marie Ebert
• Becky S Eckert

• Adult Health Nurse Practitioner in Columbus, NE
• Providers in Columbus, NE by specialty
• Adult Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.