Individual provider Active NPI

Kendra Nicole Painter, FNP-C

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1073477709
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112713 Issued in WV
Practice address
333 Laidley St
Charleston, WV 25301-1614
Phone
(304) 352-2663
Fax
(304) 414-7449
NPI assigned
Dec 16, 2025
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112713 WV Primary

Addresses

Primary practice location

333 Laidley St
Charleston, WV 25301-1614

Mailing address

758 Limestone Rd
Charleston, WV 25312-6438
Phone (304) 552-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260210003041 WV Practitioner - Nurse Practitioner 8426537366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

333 Laidley St
Suite 102
Charleston, WV 25301-1614
Phone (304) 347-6530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112713WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc Family CurrentSince Jan 22, 2026 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

333 Laidley St
Ste 102
Charleston, WV 25301
Phone (304) 347-6530

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1073477709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 LIMESTONE RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253126438",
            "telephone_number": "304-552-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAIDLEY ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011614",
            "telephone_number": "304-352-2663",
            "fax_number": "304-414-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "KENDRA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "112713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.