Joel Michael Kent, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2020-0023 Issued in NM

Practice address

460 Saint Michaels Dr Ste 1104
Santa Fe, NM 87505-7709

Phone

(505) 820-2562

Fax

(505) 795-7123

NPI assigned

Dec 18, 2019

Last updated

Aug 5, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Caroline Kingston MD MPH Family Practice LLC

  dba Caroline Kingston MD MPH Family Prectice LLC

  • Clinic/Center
  • Santa Fe, NM
  • NPI 1194966747
  Medicare reassignment
• Emanuel, LLC

  • In Home Supportive Care Agency
  • Santa Fe, NM
  • NPI 1073856530
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1619515764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 1104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057709",
            "telephone_number": "505-820-2562",
            "fax_number": "505-795-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SAINT MICHAELS DR STE 1104",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057709",
            "telephone_number": "505-820-2562",
            "fax_number": "505-795-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "PA2020-0023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2020-0023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kemp, M.ED.
• Kelsi Kendall
• Kara R Kennedy, BMS
• Valerie Elizabeth Kennedy, LMT
• Richard D Kenney, MD
• Kristin E Kenyon, CNP
• Eileen Kerem, CNP
• Candace Kern, PH.D.
• Lisa Marie Kern, MT, BCTMB
• Anne Cecelia Kessler, M.D.

• Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.