Kendra Cavasos, LVN
Individual provider Active NPI Licensed Vocational Nurse · Exeter, CA
NPI 1710450010 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1710450010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- VN697003 (CA)
- Practice address
- 1230 N Anderson Rd
Exeter, CA 93221-9674 - Phone
- (559) 594-4855
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN697003 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Courage to Change, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN697003 | CA | Yes |
Addresses
Primary practice location
1230 N Anderson Rd
Exeter, CA 93221-9674
Mailing address
1230 N Anderson Rd
Exeter, CA 93221-9674
Other providers in Exeter, CA
- Adriana Cabrera Lugo
- Miguel Angel Cabrera
- Jenise Marie Caetana
- Livier Cantor
- John Castillo
- Eliana Carmona Cerna
- Lindsey Charlip
- Nikole Chase
- Karla Noemy Chavez
- Louis Chavez
All providers in Exeter, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.