KENDAL ELIZABETH HANSEN MD
NPI 1083316632
Student in an Organized Health Care Education/Training Program in St Petersburg, FL

Q: What is Kendal Hansen's NPI number?

The NPI number for Kendal Hansen is 1083316632. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Kendal Hansen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kendal Hansen was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

6500 38TH AVE N, ST PETERSBURG, FL 33710(727) 545-4444 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kendal Elizabeth Hansen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDAL ELIZABETH HANSEN MD (NPI 1083316632) is an individual student in an organized health care education/training program in St Petersburg, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083316632

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKENDAL ELIZABETH HANSENCredential: MD

Location Address6500 38TH AVE NSt Petersburg, FL 33710-1629

Mailing Address6500 38th Ave NSt Petersburg, FL 33710-1629

Phone(727) 545-4444

Sole ProprietorNo

Enumeration DateMarch 20, 2023

NPPES CertifiedMarch 19, 2023

✔ NPI 1083316632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6500 38TH AVE N, St Petersburg, FL 33710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendal Elizabeth Hansen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYCE SHEDLOCK DO

Emergency Medicine