Active NPI
Monica Dionne Kendall, CNA
- Nurse's Aide
- Columbia, SC
National Provider Identifier
1770320574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 9985155
- Practice address
- 1000 Windsor Shores Dr Apt 25C
Columbia, SC 29223-1716 - Phone
- (803) 466-8776
- NPI assigned
- Jul 10, 2024
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 9985155 | SC | Primary |
Addresses
Primary practice location
1000 Windsor Shores Dr Apt 25C
Columbia, SC 29223-1716
Mailing address
1000 Windsor Shores Dr Apt 25C
Columbia, SC 29223-1716
Phone (803) 466-8776
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 |
|---|---|---|---|
| 9985155 | SC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1770320574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WINDSOR SHORES DR APT 25C",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231716",
"telephone_number": "803-466-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WINDSOR SHORES DR APT 25C",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292231716",
"telephone_number": "803-466-8776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDALL",
"first_name": "MONICA",
"middle_name": "DIONNE",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "9985155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.