IndividualActive
Kendra Moderow
NPI 1760065064 · Licensed Practical Nurse · Putnam, CT
Kendra Moderow is a Licensed Practical Nurse provider in Putnam, CT (NPI 1760065064).
Provider details
- NPI number
- 1760065064
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 042247 (CT)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
391 Pomfret St
Putnam, CT 06260-1852
Phone: (860) 731-5522
Fax: (860) 731-5536
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Registry dates
- Enumerated
- 2021-05-04
- Last updated
- 2021-05-04
- Certified
- 2021-05-04
Frequently asked questions
- What is Kendra Moderow's NPI number?
- Kendra Moderow's National Provider Identifier (NPI) is 1760065064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendra Moderow's specialty?
- Kendra Moderow is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Kendra Moderow located?
- Kendra Moderow's practice location on file with NPPES is 391 Pomfret St, Putnam, CT 06260-1852.
- What is Kendra Moderow's phone number?
- The practice phone number listed in the NPPES registry for Kendra Moderow is (860) 731-5522.
- Is Kendra Moderow's NPI active?
- Yes — Kendra Moderow's NPI (1760065064) is active in the NPPES registry as of the last update on 2021-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.