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Kendra Drisdom

Registered Nurse β€’ Eagle River, AK

Active NPI 1336558303 Individual Practitioner Female Practitioner
Practice location in NPPES

20435 Granite Park Cir
Eagle River, AK 995778852

Call 9077441154 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

20435 Granite Park Cir

Eagle River, AK 995778852

Telephone 9077441154

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagle River and Alaska

19 active clinicians are listed under Registered Nurse with a practice address in Eagle River, AK (1,227 in Alaska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagle River

0% of these 19 clinicians have the CMS telehealth indicator.

0% of these 19 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES AK 112573

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Licensed Practical Nurse

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES AK 7099

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alaska State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location December 21, 2018

Registered at 20435 GRANITE PARK CIR, EAGLE RIVER, AK 995778852 (Tel: 9077441154)

βœ…
NPI Profile Active August 04, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 04, 2014

Registered at 5981 HALIBUT CT, UNIT A, JBER, AK 995063620 (Tel: 9077829284)

πŸ“
Business Mailing Address (Initial Record) August 04, 2014

Registered at 5981 HALIBUT CT, UNIT A, JBER, AK 995063620 (Tel: 9077829284)

πŸ‘€
Provider Name / Credentials (Initial Record) August 04, 2014

Recorded as KENDRA DRISDOM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2014

Licensed Practical Nurse (license number reported to NPPES: AK 7099)

🟒
Initial NPI Registration & Enumeration August 04, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336558303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2014
Last Update: December 21, 2018
Sole Proprietor: No

Mailing Address

5981 Halibut Ct, Unit A

Jber, AK 995063620

Phone: 9077829284

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.