Individual provider Active NPI

Kendall Ellington Essex, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1114333028
Registry record updated Jun 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133526 Issued in TX
Practice address
3907 S Sherwood Forest Blvd
Baton Rouge, LA 70816-4363
Phone
(225) 367-6189
Fax
(225) 456-2301
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07824 LA
Family Nurse Practitioner 363LF0000X AP133526 TX Primary

Addresses

Primary practice location

3907 S Sherwood Forest Blvd
Baton Rouge, LA 70816-4363

Mailing address

3907 S Sherwood FRST
Baton Rouge, LA 70816-4363
Phone (225) 367-6189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170613002059 TX Practitioner - Nurse Practitioner 4385932441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients
American Current Care, P.a. CurrentSince Jun 19, 2017 Accepting new patients
American Current Care P.a. CurrentSince Jun 19, 2017 Accepting new patients
Louisiana Stat Care LLC Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

511 E Interstate 20
Arlington, TX 76018
Phone (817) 261-5166

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497139200000",
    "number": "1114333028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 S SHERWOOD FRST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164363",
            "telephone_number": "225-367-6189",
            "fax_number": "225-456-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164363",
            "telephone_number": "225-367-6189",
            "fax_number": "225-456-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSEX",
        "first_name": "KENDALL",
        "middle_name": "ELLINGTON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2017-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.