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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIAH SAGE KENNELL DNP-FNP
NPI 1649005661
Nurse Practitioner - Family in Evans, CO

Active since September 09, 2024
2930 11TH AVE, EVANS, CO 80620(970) 353-9403 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2026, Sep 9, 2024 (2 updates tracked since 2024).

About Mariah Sage Kennell Dnp-fnp NPPES

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

MARIAH SAGE KENNELL DNP-FNP (NPI 1649005661) is an individual family provider in Evans, Colorado, licensed in Colorado (F06262053) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1649005661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAH SAGE KENNELLCredential: DNP-FNP
Location Address2930 11TH AVEEvans, CO 80620-1011
Mailing Address2930 11th AveEvans, CO 80620-1011 · (970) 353-9403
Phone(970) 353-9403
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
Last NPPES UpdateJuly 11, 20262 updates tracked since enumeration
NPPES CertifiedJuly 11, 2026
✔ NPI 1649005661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · F06262053
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.1674236 (CO)
2930 11TH AVE, Evans, CO 80620
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Other Names 1

Former Name (1)Mariah Sage Kennell Mendoza

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.

JENNIFER A CARAGOL MD
Family Medicine
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
FELICIA MARIE DOHERTY PA-C
Physician Assistant
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
JESSICA KANNEY
Student in an Organized Health Care Education/Training Program
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120
KALEIGH NICOLE ROSE RD, CLC
Dietitian, Registered
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 395-1113
MRS. AMY IRENE ENDRIS
Student in an Organized Health Care Education/Training Program
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120
SUNRISE COMMUNITY HEALTH
Pharmacy (Clinic Pharmacy)
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 395-9011
DR. SARAH FLORENCE HODACK MD
Family Medicine
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 353-9403
ESTHER AGUILA MSW
Social Worker (Clinical)
2930 11TH AVE
EVANS, CO 80620
Weld County (970) 347-2120

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 Mariah Kennell's NPI number?

The NPI number for Mariah Kennell is 1649005661. It was assigned to this individual provider in the NPPES registry on September 9, 2024. The provider is also known as Mariah Sage Kennell Mendoza.

Where is Mariah Kennell located?

Mariah Kennell practices at 2930 11th Ave, Evans, CO 80620. The listed phone number is (970) 353-9403.

What is Mariah Kennell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mariah Kennell was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.