Kelly M Pendrick, DR. AUDIOLOGY

Primary specialty

AudiologistTaxonomy code 231H00000X

License

01090379 Issued in MI

Practice address

8872 Professional Dr
Cadillac, MI 49601-8481

Phone

(231) 775-9398

Fax

(231) 775-9398

NPI assigned

Feb 23, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert Kendell D.O.,P.C.Group PAC ID 4981884806, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFFDDD/Endpoint/JFFDDD

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.

• Robert Kendell D.O.,P.C.

  • Facial Plastic Surgery Physician
  • Cadillac, MI
  • NPI 1548562978
  Medicare reassignment Care Compare group NPD
• Lisa Jacobson D.O., P.C.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Cadillac, MI
  • NPI 1831333715
  NPD (past)

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1093780819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-775-9398",
            "fax_number": "231-775-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018481",
            "telephone_number": "231-775-9398",
            "fax_number": "231-775-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDRICK",
        "first_name": "KELLY",
        "middle_name": "M",
        "credential": "DR.  AUDIOLOGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "01090379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "467422080",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Payne, R.R.T., S.D.S.
• David Harvey Payne, MD
• Sandra Kay Payne, LBSW
• Danielle Louise Peer
• Brandon C Peltier, D.O.
• Brianna Perez, RBT
• Perry Drug Stores Inc and Subsidiaries (Rite Aid Pharmacy 04506)
• Jamie Duane Peterson, PA-C
• Brianna L Petty, BEHAVIOR TECHNICIAN
• Scott Philburn, PA-C

• Audiologist in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.