Kendall Lewis Estes, NP
Individual provider Active NPI Family Nurse Practitioner · Reform, AL
NPI 1083476436 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1083476436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-180258 (AL)
- Practice address
- 108 4TH Ave SW
Reform, AL 35481-8018 - Phone
- (205) 375-6251
- NPI assigned
- Jan 30, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pickens County Primary Care, PC
Practice addresses (Care Compare)
108 4TH Ave SW
Suite a
Reform, AL 35481-8018
Phone (205) 375-6251
Hospital & facility affiliations
- DCH Regional Medical Center
- Fayette Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240517002180 | AL | Practitioner - Nurse Practitioner | 7012358211 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-180258 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pickens County Primary Care PC | Current |
Accepting new patients | |
| Pickens County Primary Care, PC | Current |
Accepting new patients |
Locations
108 4th Ave SW
Reform, AL 35481
Phone (205) 375-6251
108 4th Ave SW
Ste A
Reform, AL 35481
Phone (205) 242-0580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-180258 | AL | Yes |
Addresses
Primary practice location
108 4TH Ave SW
Reform, AL 35481-8018
Mailing address
318 Coal Fire Cir
Reform, AL 35481-2940
Phone (205) 399-2962
Other providers in Reform, AL
- Arbor Woods Health and Rehab LLC
- Julia Lett Boothe
- Randa Corley
- Sheila Gail Dare
- Fenton Chiropractic LLC
- James Fenton
- Cacyce Fowler
- Christopher Quantril Gosa
- Growing in the Dark Counseling Services
All providers in Reform, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.