Kendall Dorie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23300 Issued in SC

Practice address

206 Wall St
Piedmont, SC 29673-6754

Phone

(864) 269-7950

NPI assigned

Jun 12, 2019

Last updated

Jul 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Dr William M Scott, Mdvip PAGroup PAC ID 2365596772, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Dr William M Scott, Mdvip PA

  • Primary Care Clinic/Center
  • Piedmont, SC
  • NPI 1184858136
  Medicare reassignment Care Compare group NPD
• Addictionology Associates LLC

  • Addiction Medicine (Family Medicine) Physician
  • Piedmont, SC
  • NPI 1194896647
  Medicare reassignment NPD
• Addictionology Associates LLC

  dba A New Crossroad

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1033783592
  NPD Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1164081253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-269-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-269-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIE",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhruv 1 LLC
• Rachel Wilson Dillman, PHARMD
• Divine Purpose Home Healthcare, LLC
• Melissa Conley Dodaro
• Makencie Donald, BCBA
• Dosher Physical Therapy Associates
• Christine Dowling, LISW-CP
• Dr William M Scott, Mdvip PA
• E Z Access Pharmacy Inc
• Susan G Eades, RPH

• Family Nurse Practitioner in Piedmont, SC
• Providers in Piedmont, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.