Individual provider Active NPI

Kenderlate Arthus, NP-BC

  • Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1043980550
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F09210258 Issued in MD
Practice address
3110 Gracefield Rd
Silver Spring, MD 20904-1820
Phone
(301) 572-8340
Fax
(301) 572-8403
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F09210258 MD Primary

Addresses

Primary practice location

3110 Gracefield Rd
Silver Spring, MD 20904-1820

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (301) 572-8340

Other practice location 1

1738 Elton Road Suite 316
Silver Spring, MD 20903
Phone (443) 525-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230501001936 DC Practitioner - Nurse Practitioner 8527423326 Reassigns benefits to 2 organizations
I20240826002480 CA Practitioner - Nurse Practitioner 8527423326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

222 Merchandise Mart PLZ
Suite 1230
Chicago, IL 60654-1471

222 Merchandise Mart PLZ
Suite 1230
Chicago, IL 60654-4342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09210258MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists, LLC CurrentSince May 19, 2024 Accepting new patients
Ca Post Acute Specialists PC CurrentSince Aug 9, 2024 Accepting new patients
Angel Eye Medical LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

2140 Carlmont Dr
Belmont, CA 94002
Phone (650) 591-9601

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651

2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800

201 Hartnell Ave
Redding, CA 96002
Phone (530) 212-0073

2550 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 319-4376

300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone (707) 359-5005

325 Kempton St
Spring Valley, CA 91977
Phone (619) 434-0577

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

1290 Celebration Blvd
Kissimmee, FL 34747
Phone (321) 337-7400

10095 Hillview Dr
Pensacola, FL 32514
Phone (850) 479-4000

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

9101 Cherry Ln
Ste 111
Laurel, MD 20708
Phone (443) 525-7803

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

1738 Elton Rd
Ste 316
Silver Spring, MD 20903
Phone (443) 525-7803

9825 S Jordan Gtwy
Sandy, UT 84070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1043980550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "301-572-8340",
            "fax_number": "301-572-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRACEFIELD RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041820",
            "telephone_number": "301-572-8340",
            "fax_number": "301-572-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Elton Road Suite 316",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "20903",
            "country_code": "US",
            "telephone_number": "443-525-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTHUS",
        "first_name": "KENDERLATE",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "F09210258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.