KENDRA JO BLOMBERG APRN CNP RN NPI 1811793946

NPI Information

  • NPI: 1811793946
  • Provider Name: KENDRA JO BLOMBERG, APRN, CNP, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1000 W NIFONG BLVD BLDG 6
    COLUMBIA, MO
    ZIP 65203
  • Phone: (844) 853-8937

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NPI Details

Kendra Jo Blomberg, APRN, CNP, RN is a psychiatric/mental health nurse practitioner in Columbia, MO with 2 years of experience. Kendra Jo Blomberg, APRN, CNP, RN NPI is 1811793946. 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:

1000 W NIFONG BLVD BLDG 6
COLUMBIA, MO
ZIP 65203-615
Phone: (844) 853-8937

The NPI 1811793946 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 enumeration date for this NPI number is 2/20/2025 and was last updated on 2/20/2025.

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
1163W00000XRegistered Nurse2007018601MISSOURINo
2163W00000XRegistered Nurse041509652ILLINOISNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health2024045263MISSOURIYes

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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