Kendra Deann Lopez, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1020096 Issued in TX

Practice address

709 W Leuda St
Fort Worth, TX 76104-3115

Phone

(817) 926-2511

NPI assigned

Nov 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1063016913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 EAGLE PASS",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486806",
            "telephone_number": "817-821-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W LEUDA ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043115",
            "telephone_number": "817-926-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1911 Eagle Pass",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762486806",
            "country_code": "US",
            "telephone_number": "817-821-5541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6221 Colleyville Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Colleyville",
            "state": "TX",
            "postal_code": "760346250",
            "country_code": "US",
            "telephone_number": "817-251-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KENDRA",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lopez, LPC
• Frank Lopez
• Ivy L Lopez
• Jennifer Lopez, DO
• John Paul Lopez, LMT
• Lisa Lopez
• Margie Lopez, CPNP-PC
• Maria Mercedes Lopez
• Marissa Lopez
• Marivic Vinuya Lopez, RNFA

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.