KENDEL RAE RIDGEWAY DO
NPI 1740976901
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 12, 2023PECOS Enrolled
3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kendel Rae Ridgeway Do NPPES

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

KENDEL RAE RIDGEWAY DO (NPI 1740976901) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740976901
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDEL RAE RIDGEWAYCredential: DO
Location Address3901 BEAUBIEN STDetroit, MI 48201-2196
Mailing Address3901 Beaubien StDetroit, MI 48201-2196 · (313) 745-5533
Sole ProprietorNo
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
NPI 1740976901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 BEAUBIEN ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kendel Rae Ridgeway Do 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.

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.

Pediatrics (Pediatric Emergency Medicine)
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Physician Assistant (Surgical)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pediatrics
3901 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3901 BEAUBIEN ST
DETROIT, MI 48201
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201
Pharmacist
3901 BEAUBIEN ST
DETROIT, MI 48201

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 Kendel Ridgeway's NPI number?

The NPI number for Kendel Ridgeway is 1740976901. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Kendel Ridgeway located?

Kendel Ridgeway practices at 3901 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 745-5533.

What is Kendel Ridgeway's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kendel Ridgeway enrolled in Medicare?

Yes. Kendel Ridgeway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendel Ridgeway was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.