Active NPI
Kendaly Meadows, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Roswell, GA
National Provider Identifier
1033527924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN148484
- Practice address
- 901 Bombay LN
Roswell, GA 30076-5829 - Phone
- (770) 664-1920
- NPI assigned
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN148484 | GA | Primary |
Addresses
Primary practice location
901 Bombay LN
Roswell, GA 30076-5829
Mailing address
901 Bombay Lane
#2301
Roswell, GA 30076
Phone (770) 664-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1033527924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 BOMBAY LANE",
"address_2": "#2301",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-664-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 BOMBAY LN",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765829",
"telephone_number": "770-664-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "KENDALY",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN148484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
- Samantha Sue McSherry, MA, CCC/SLP
- Nena McSween, MSSLPCCC
- Elizabeth McVeety, RBT
- Julia Ann McVicker, MS, OTR/L
- Frederick Jarden Meadows, D.D.S.
- Meaningful Solutions Counseling & Consulting
- Ashley Meccia, MS, RDN, LDN, CDE
- Russell Meccia, D.C.
- Medical Centers of Atlanta LLC
- Medical Testing Laboratories
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.