Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760065064 Individual Practitioner Female Practitioner

Kendra Moderow

Licensed Practical Nurse • Putnam, CT

Professional Overview & Biography Verified Profile Summary

Kendra Moderow is a registered healthcare professional specializing in Licensed Practical Nurse in Putnam, CT. Practice services are available at 391 POMFRET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

391 Pomfret St

Putnam, CT 062601852

Telephone 8607315522
Fax 8607315536
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Putnam, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Putnam, CT (389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License CT 042247

An individual 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cheryl Dean , LCSW

Social Worker - Clinical

NPI 1003087701

Licensed Clinical Social Worker

Laura Olejarz

Student in an Organized Health Care Education/Training Program

NPI 1003389982
Bernard Armah

Licensed Practical Nurse

NPI 1003419730
Shonda Northup

Counselor - Mental Health

NPI 1003502097
Jennifer Rogers

Registered Nurse

NPI 1003505991
Joanne Labbadia

Counselor - Mental Health

NPI 1003525668

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2021

Registered at 391 POMFRET ST, PUTNAM, CT 062601852 (Tel: 8607315522)

📍
Updated Business Mailing Address May 04, 2021

Registered at 2 WATERSIDE XING STE 401, WINDSOR, CT 060951588 (Tel: 8607315522)

👤
Provider Name / Credentials Updated May 04, 2021

Recorded as KENDRA MODEROW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Licensed Practical Nurse (License #042247 in CT)

🟢
Initial NPI Registration & Enumeration May 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760065064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2021
Last Update: May 04, 2021
Sole Proprietor: No

Mailing Address

2 Waterside Xing Ste 401

Windsor, CT 060951588

Phone: 8607315522

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.