Active NPI
Kendra Fay Francis, PA-C
- Physician Assistant
- Fort Pierce, FL
National Provider Identifier
1104538347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9116629
- Practice address
- 833 Bent Creek Dr
Fort Pierce, FL 34947-1327 - Phone
- (954) 200-3458
- NPI assigned
- Dec 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9116629 | FL | Primary |
Addresses
Primary practice location
833 Bent Creek Dr
Fort Pierce, FL 34947-1327
Mailing address
833 Bent Creek Dr
Fort Pierce, FL 34947-1327
Phone (954) 200-3458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9116629 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1104538347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 BENT CREEK DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349471327",
"telephone_number": "954-200-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 BENT CREEK DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349471327",
"telephone_number": "954-200-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCIS",
"first_name": "KENDRA",
"middle_name": "FAY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-20",
"last_updated": "2023-04-12",
"certification_date": "2023-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9116629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.