Active NPI
Kristen Lenand
- Community Health Worker
- Clarkton, MO
National Provider Identifier
1679011977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 161010490018
- Practice address
- 405 Page Street
Clarkton, MO 63837 - Phone
- (573) 379-6906
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161010490018 | MO | MD | Community Health Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 161010490018 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
405 Page Street
Clarkton, MO 63837
Mailing address
6116 W State Highway 162
Gideon, MO 63848-9177
Phone (573) 379-6906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2017.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1679011977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 W STATE HIGHWAY 162",
"city": "GIDEON",
"state": "MO",
"postal_code": "638489177",
"telephone_number": "573-379-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 PAGE STREET",
"city": "CLARKTON",
"state": "MO",
"postal_code": "63837",
"telephone_number": "573-379-6906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENAND",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "161010490018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.