Kelin Lebkuna Penda

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1701 NW 46TH St Apt 105
Oklahoma City, OK 73118-2201

Phone

(405) 535-4360

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1649990086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW 46TH ST APT 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182201",
            "telephone_number": "405-535-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 NW 46TH ST APT 105",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182201",
            "telephone_number": "405-535-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDA",
        "first_name": "KELIN",
        "middle_name": "LEBKUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1701 NW 46th St Apt 105",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731182201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pembroke Health of Oklahoma PC
• Jared Pembrook
• Naresh Pemmaraju, M.D.
• Shyla Michelle Penaroza, M.D.
• Oscar Penate
• Joel Pendarvis
• Justeena Melline Pendarvis
• Silvanna Pender, M.D.
• Christi Pendergraft, MD
• Alexis Pendergrass

• Case Manager/Care Coordinator in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.