KENDRA KAY HACKNEY FNP NPI 1053612697

NPI Information

  • NPI: 1053612697
  • Provider Name: KENDRA KAY HACKNEY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1644 CENTRAL AVE
    MCKINLEYVILLE, CA
    ZIP 95519
  • Phone: (707) 839-3068

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NPI Details

Kendra Kay Hackney, FNP is a family nurse practitioner in Mckinleyville, CA with 16 years of experience. Kendra Kay Hackney, FNP NPI is 1053612697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1644 CENTRAL AVE
MCKINLEYVILLE, CA
ZIP 95519-342
Phone: (707) 839-3068
Fax: (707) 839-3827

The NPI 1053612697 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Telehealth originating site facility fee (HCPCS:Q3014)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Automated urinalysis test (HCPCS:81003)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Heart rhythm recording of continous external ekg over 8-15 days (HCPCS:93246)

The enumeration date for this NPI number is 11/13/2010 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95027800CALIFORNIAYes
2163WG0000XRegistered NurseGeneral Practice95354760CALIFORNIANo
3363LF0000XNurse PractitionerFamilyF0910261MINNESOTANo
4363LF0000XNurse PractitionerFamilyCNP2597MINNESOTANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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