Kendrick Handy

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3910 Pecos McLeod Ste A100
Las Vegas, NV 89121-7441

Phone

(702) 219-9077

Fax

(702) 623-0025

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Family Empoweement Academy of Nevada

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1497528855
  NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1639947724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE A100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217441",
            "telephone_number": "702-219-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 PECOS MCLEOD STE A100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217441",
            "telephone_number": "702-219-9077",
            "fax_number": "702-623-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDY",
        "first_name": "KENDRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chyna L Handy Russell
• Chelsey Marie Handy
• Contessa Joann Handy
• Emmett Handy
• Emmitt Breston Handy Jr.
• William Handy
• Rabia Hanee
• Sharifa Haneefzai
• Desarae Marshe Haney
• Jatahj Antwon Haney

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.