Active NPI
Kendra Schubert, RNC
- Procedural Dermatology Physician
- Redding, CA
National Provider Identifier
1730888074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 842955
- Practice address
- 2650 Edith Ave
Redding, CA 96001-3043 - Phone
- (530) 244-2130
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | 842955 | CA | Primary |
Addresses
Primary practice location
2650 Edith Ave
Redding, CA 96001-3043
Mailing address
4952 Alta Camino Dr
Redding, CA 96002-4132
Phone (530) 524-0103
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 |
|---|---|---|---|
| 842955 | CA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1730888074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4952 ALTA CAMINO DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960024132",
"telephone_number": "530-524-0103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 EDITH AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960013043",
"telephone_number": "530-244-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUBERT",
"first_name": "KENDRA",
"credential": "RNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "842955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.