ALTA BLANCHE KENDALL ARNP NNP-BC
NPI 1104246388
Nurse Practitioner - Neonatal in Olympia, WA

Q: What is Alta Kendall's NPI number?

The NPI number for Alta Kendall is 1104246388. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Q: What is Alta Kendall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Alta Kendall was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 25, 2014PECOS Enrolled

3900 CAPITAL MALL DR SW, OLYMPIA, WA 98502(360) 704-4743 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alta Blanche Kendall Arnp Nnp-bc NPPES

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

ALTA BLANCHE KENDALL ARNP NNP-BC (NPI 1104246388) is an individual neonatal provider in Olympia, Washington, licensed in Washington (AP60289316) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1104246388

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameALTA BLANCHE KENDALLCredential: ARNP NNP-BC

Location Address3900 CAPITAL MALL DR SWOlympia, WA 98502-8654

Mailing Address315 Martin Luther King Jr Way, Tacoma General Hospital-pediatrix Medical GroupTacoma, WA 98405-4234 · (253) 403-1019 · Fax (253) 403-1686

Phone(360) 704-4743

Sole ProprietorNo

Enumeration DateApril 25, 2014

Last NPPES UpdateOctober 24, 2019

✔ NPI 1104246388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in WA · AP60289316

3900 CAPITAL MALL DR SW, Olympia, WA 98502

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Secondary Practice Location 1

Location 1315 Martin Luther King Jr Way, Tacoma General Hospital-Pediatrix Medical GroupTacoma, WA 98405-4234 · Phone (253) 403-1019 · Fax (253) 403-1686

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alta Blanche Kendall Arnp Nnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. KIRSTEN ERICA REDBORG M.D.

Anesthesiology