Provider Demographics
NPI:1295966034
Name:PIENING, KENDRA R (APRN)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:R
Last Name:PIENING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:R
Other - Last Name:BAUGHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:555 S 70TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2462
Mailing Address - Country:US
Mailing Address - Phone:402-219-7910
Mailing Address - Fax:
Practice Address - Street 1:575 S 70TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2471
Practice Address - Country:US
Practice Address - Phone:402-441-4760
Practice Address - Fax:402-441-4764
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111058363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE24207OtherBCBS NE
KS200618250AMedicaid
NEP00759832OtherRR MEDICARE
NEP00759832OtherRR MEDICARE