KENDRA K DEJA
NPI 1386970119
Nurse Practitioner in Madison, WI

Q: What is Kendra Deja's NPI number?

The NPI number for Kendra Deja is 1386970119. It was assigned to this individual provider in the NPPES registry on October 29, 2009. The provider is also known as Kendra Peterson Np.

Q: What is Kendra Deja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Deja was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 29, 2009

700 S PARK ST, MADISON, WI 53715(608) 260-2900 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kendra K Deja NPPES

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

KENDRA K DEJA (NPI 1386970119) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (8218-33) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1386970119

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKENDRA K DEJA

Location Address700 S PARK STMadison, WI 53715-1830

Mailing Address700 S Park StMadison, WI 53715-1830 · (608) 260-2900

Phone(608) 260-2900

Sole ProprietorNo

Enumeration DateOctober 29, 2009

Last NPPES UpdateNovember 6, 2020

NPPES CertifiedNovember 6, 2020

✔ NPI 1386970119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 8218-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

700 S PARK ST, Madison, WI 53715

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Other Names 1

Former Name (1)Kendra Peterson Np

Other Identifiers 1

Medicaid1386970119WI

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.

CHRISTOPHER DO

Physician Assistant

700 S PARK ST
MADISON, WI 53715

Dane County (608) 251-6100

JEREMI THOMAS OLSON PA-C

Physician Assistant (Surgical)

700 S PARK ST, DEAN ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715

Dane County (608) 260-2900

TIMOTHY J MORTON PA-C

Physician Assistant

700 S PARK ST, DEAN MEDICAL CENTER
MADISON, WI 53715

Dane County (608) 251-6100

STEPHEN H VANDER SLUIS

Anesthesiology

700 S PARK ST
MADISON, WI 53715

Dane County (608) 251-6100

BENJAMIN KLEIBER M.D.

Internal Medicine (Cardiovascular Disease)

700 S PARK ST, DEAN & ST. MARY'S OUTPATIENT CENTER
MADISON, WI 53715

Dane County (608) 260-2900

ERIN M MULLAN-TOWNS PA-C

Physician Assistant

700 S PARK ST
MADISON, WI 53715

Dane County (608) 260-2900

CONNIE SUE MCCULLICK APNP

Nurse Practitioner

700 S PARK ST
MADISON, WI 53715

Dane County (608) 251-6100

JUSTIN ALLEN LEHRKE CRNA

Nurse Anesthetist, Certified Registered

700 S PARK ST
MADISON, WI 53715

Dane County (608) 251-6100

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 Kendra Deja's NPI number?

The NPI number for Kendra Deja is 1386970119. It was assigned to this individual provider in the NPPES registry on October 29, 2009. The provider is also known as Kendra Peterson Np.

Where is Kendra Deja located?

Kendra Deja practices at 700 S Park St, Madison, WI 53715. The listed phone number is (608) 260-2900.

What is Kendra Deja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kendra Deja was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.