Betina Jo Kendall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L0059554 Issued in OK

Practice address

5550 S Garnett Rd
Tulsa, OK 74146-6831

Phone

(918) 665-2501

Fax

(918) 665-3966

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1659027902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466831",
            "telephone_number": "918-665-2501",
            "fax_number": "918-665-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741466831",
            "telephone_number": "918-665-2501",
            "fax_number": "918-665-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "BETINA",
        "middle_name": "JO",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "L0059554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Kempe, M.D.
• Caleb David Kempf
• Ken Merchant,O.D. PLLC
• Olivia Kenas
• Amber Kendall
• Shon D. Kendall, D.O.
• Kendra Pennington, Otr/L
• Kendrick M. Higo DC, PLLC (Kendrick M. Higo, DC)
• Bobby Kendrick
• Christina G Kendrick, M.D.

• Licensed Practical Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.