Active NPI
Kendra Salyers
- Contractor
- Naperville, IL
National Provider Identifier
1932406121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- S46251486796
- Practice address
- 800 West 5TH Avenue
St 106 F/G
Naperville, IL 60563 - Phone
- (630) 639-1655
- NPI assigned
- Feb 24, 2011
- Last updated
- Feb 24, 2011
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | S46251486796 | IL | Primary |
Addresses
Primary practice location
800 West 5TH Avenue
St 106 F/G
Naperville, IL 60563
Mailing address
1715 Arbor Lane
Apt 302
Crest Hill, IL 60403
Phone (630) 947-3555
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 |
|---|---|---|---|
| S46251486796 | IL | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1932406121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 ARBOR LANE",
"address_2": "APT 302",
"city": "CREST HILL",
"state": "IL",
"postal_code": "60403",
"telephone_number": "630-947-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST 5TH AVENUE",
"address_2": "ST 106 F/G",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60563",
"telephone_number": "630-639-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALYERS",
"first_name": "KENDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "S46251486796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.