Kendra Gail Stidolph, HHP

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

800 Grand Ave
Ste C12
Carlsbad, CA 92008-1808

Phone

(760) 275-2214

NPI assigned

Jan 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1730426966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1072",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920181072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND AVE",
            "address_2": "STE C12",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081808",
            "telephone_number": "760-275-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIDOLPH",
        "first_name": "KENDRA",
        "middle_name": "GAIL",
        "credential": "HHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Stevenson, AC
• Phillip Stevenson
• Aniya Stewart
• Barbara Jean Stewart, D.C.
• Linda Marie Stewart, MA
• Faith G Stiles, PTA
• Janet Still
• Janine C Stock, LMFT
• June Francine Stoelzel, LMFT
• Emily Stoerkel, RN

• Massage Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.