Kendra Levi DO, LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

KENDRA LEVI DO, LLC

Practice address

502 Bullocks Point Ave
Riverside, RI 02915-3504

Phone

(772) 919-5068

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Kendra Levi, DONPI 1184116816

Title

Sole Member

Phone

(772) 919-5068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra N Levi, DO

  • Family Medicine Physician
  • West Warwick, RI
  • NPI 1184116816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1639885874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LANGDON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041108",
            "telephone_number": "772-919-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BULLOCKS POINT AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029153504",
            "telephone_number": "772-919-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA LEVI DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "772-919-5068",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rose Kavanagh, Licsw
• Brian Kavanaugh, PSYD
• Amy Joyce Kaye, PH.D.
• Teresa Alice Kelly-Berry, P.T.
• Joshua Kemp, PHD
• Nicholas Ivan Kendrick, LCSW
• Rebecca Newland Kilch, PH.D.
• Bryana Elizabeth Killion, PHD
• Kerri Lynn Kim, PH.D.
• James R Klinger, MD

• Neuromusculoskeletal Medicine & OMM Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.