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KENDRA TERRELL FOOTMAN LPN
NPI 1750683595
Licensed Practical Nurse in Central Islip, NY

Active since November 30, 2010
150 BRIER ST, CENTRAL ISLIP, NY 11722(631) 960-1978 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kendra Terrell Footman Lpn NPPES

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

KENDRA TERRELL FOOTMAN LPN (NPI 1750683595) is an individual licensed practical nurse in Central Islip, New York, licensed in New York (284107) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1750683595
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKENDRA TERRELL FOOTMANCredential: LPN
Location Address150 BRIER STCentral Islip, NY 11722-3939
Mailing Address2 Somerset Rd WAmityville, NY 11701-2022 · (631) 960-1978
Phone(631) 960-1978
Sole ProprietorYes
Enumeration DateNovember 30, 2010
✔ NPI 1750683595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 284107
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
150 BRIER ST, Central Islip, NY 11722
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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 Footman's NPI number?

The NPI number for Kendra Footman is 1750683595. It was assigned to this individual provider in the NPPES registry on November 30, 2010.

Where is Kendra Footman located?

Kendra Footman practices at 150 Brier St, Central Islip, NY 11722. The listed phone number is (631) 960-1978.

What is Kendra Footman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kendra Footman was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.