Kendra Petersen
NPI 1417840166 · Student in an Organized Health Care Education/Training Program · Minneapolis, MN
Kendra Petersen is a Student in an Organized Health Care Education/Training Program provider in Minneapolis, MN (NPI 1417840166).
Provider details
- NPI number
- 1417840166
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2025-06-02
- Certified
- 2025-06-01
Frequently asked questions
- What is Kendra Petersen's NPI number?
- Kendra Petersen's National Provider Identifier (NPI) is 1417840166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Petersen's specialty?
- Kendra Petersen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kendra Petersen located?
- Kendra Petersen's practice location on file with NPPES is 2211 Riverside Avenue South, Minneapolis, MN 55454.
- What is Kendra Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kendra Petersen is (612) 330-1399.
- Is Kendra Petersen's NPI active?
- Yes — Kendra Petersen's NPI (1417840166) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.