KENDALL JANE BOOKER
NPI 1356195804
Student in an Organized Health Care Education/Training Program in Crossett, AR
About Kendall Jane Booker NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDALL JANE BOOKER (NPI 1356195804) is an individual student in an organized health care education/training program in Crossett, Arkansas and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendall Jane Booker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
CROSSETT, AR 71635
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kendall Booker's NPI number?
The NPI number for Kendall Booker is 1356195804. It was assigned to this individual provider in the NPPES registry on April 12, 2024.
Where is Kendall Booker located?
Kendall Booker practices at 1015 Unity Rd, Crossett, AR 71635. The listed phone number is (870) 364-4111.
What is Kendall Booker's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kendall Booker enrolled in Medicare?
Yes. Kendall Booker is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kendall Booker was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kendall Jane Booker · NPI 1356195804
Student in an Organized Health Care Education/Training Program provider in Crossett, Arkansas. Individual provider, active in the CMS NPPES registry since April 12, 2024.
## Identity
- **NPI:** 1356195804 (Entity type: Individual)
- **Enumerated:** April 12, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1015 UNITY RD, Crossett, AR 71635-9443
- **Phone:** (870) 364-4111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1356195804) · Data from the CMS NPPES public registry.