KENHDRA TILLMAN
NPI 1649861956
Nurse's Aide in Saint Louis, MO

Active since January 29, 2021
1029 PRIGGE RD, SAINT LOUIS, MO 63138(314) 406-4315 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenhdra Tillman NPPES

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

KENHDRA TILLMAN (NPI 1649861956) is an individual nurse's aide in Saint Louis, Missouri and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1649861956
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameKENHDRA TILLMAN
Location Address1029 PRIGGE RDSaint Louis, MO 63138-3553
Mailing Address10617 Dunkeld CirSaint Louis, MO 63137-3855 · (314) 406-4315
Sole ProprietorNo
Enumeration DateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
NPI 1649861956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
1029 PRIGGE RD, Saint Louis, MO 63138

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 Kenhdra Tillman's NPI number?

The NPI number for Kenhdra Tillman is 1649861956. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Where is Kenhdra Tillman located?

Kenhdra Tillman practices at 1029 Prigge Rd, Saint Louis, MO 63138. The listed phone number is (314) 406-4315.

What is Kenhdra Tillman's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Kenhdra Tillman was last updated on January 29, 2021. 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.