Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kendra Kay Hackney, FNP

Individual provider Family Nurse Practitioner · NPI 1053612697

Kendra Kay Hackney, FNP is a Nurse Practitioner in McKinleyville, California. Qualified in 2010, 16 years ago. Practices with Open Door Community Health Centers, a 114-clinician group and accepts Medicare assignment. Licensed in California and Minnesota.

Years since qualifying
16
Licensed in
CA, MN
In the registry since
2010
Specialties on file
4
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1644 Central Ave
McKinleyville, CA 95519-4342
Phone: (707) 839-3068
Fax: (707) 839-3827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95027800 (CA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 95354760 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0910261 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP2597 (MN)

Record details

NPI number1053612697
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 13, 2010
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Open Door Community Health Centers — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in McKinleyville