Kenadee Eyre

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

218431 Issued in AK

Practice address

170 Yellow Creek Rd Ste D
Evanston, WY 82930-5200

Phone

(307) 783-8068

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

No

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

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Uinta Physical Therapy, Inc.

  • Physical Therapist
  • Evanston, WY
  • NPI 1215260096

  Occupational Therapist

  NPD
• Kenai Kids Therapy Inc

  • Physical Therapist
  • Kenai, AK
  • NPI 1780711846
  NPD (past)

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1740050228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "AFTON",
            "state": "WY",
            "postal_code": "831100997",
            "telephone_number": "307-780-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 YELLOW CREEK RD STE D",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829305200",
            "telephone_number": "307-783-8068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 S Main St Ste D",
            "address_purpose": "LOCATION",
            "city": "Lyman",
            "state": "WY",
            "postal_code": "829375177",
            "country_code": "US",
            "telephone_number": "307-787-3278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EYRE",
        "first_name": "KENADEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "218431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanston Hospital Corporation (Evanston Regional Hosp - ER Dept)
• Evanston Internal Medicine Assoc. (Evanston Internal Medicine Associates)
• Evanston Regional Physicians LLC
• Evanston Surgical Center LLC
• Evergreen Counseling
• Beverly Fackrell, LPC
• Kristy H Faddis
• Melissa Faddis
• Lisa Kay Faulkner
• Kelsee Jo Ficker

• Occupational Therapist in Evanston, WY
• Providers in Evanston, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.