Kendra Blackwell, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5021664 Issued in NC

Practice address

220 13TH Avenue PL NW
Hickory, NC 28601-2532

Phone

(828) 328-5646

NPI assigned

Feb 13, 2025

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Step Up Care of North Carolina PCGroup PAC ID 4486036878, 19 clinicians

Mind and Body Wellness, PLLCGroup PAC ID 5698182608, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mind & Body Wellness, PLLC

  • Primary Care Nurse Practitioner
  • Shelby, NC
  • NPI 1134713159

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Step Up Care of North Carolina PC

  • Clinical Psychologist
  • Raleigh, NC
  • NPI 1841929395
  Medicare reassignment Care Compare group NPD
• Healthstar

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1669221719
  Medicare reassignment NPD
• Sacred Path Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1407646961
  NPD Authorized official
• Sacred Path Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1386564300
  NPD (past) Authorized official

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1144025370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 VALKRIE PL",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297456625",
            "telephone_number": "803-417-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 13TH AVENUE PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012532",
            "telephone_number": "828-328-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KENDRA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021664",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "29971",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Bivens, FNP-BC
• Thomas Erik Bjorlie, LPCA
• Christopher Brandon Black, CADC-I
• Justin Clint Black, MD
• Maxwell Black
• Joann Knox Blackwood
• Alene R Blair, FNP
• Beth Farmer Blair, WHNP
• Douglas Blakeman, CSAC
• Francisca Blanco

• Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.