Kenya Everette, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01050551A Issued in IN

Practice address

2855 N Keystone Ave Ste 100
Indianapolis, IN 46218-2790

Phone

(317) 957-2300

Fax

(317) 957-2320

NPI assigned

Sep 12, 2007

Last updated

Feb 29, 2024By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenya.everette@1067219435323396.direct.elationemr.com
• Direct secure messaging: kenya.everette@1067223548755972.direct.elationemr.com
• Direct secure messaging: kenya.everette@1096568409358340.direct.elationemr.com
• Direct secure messaging: strive.kenyaeverette@146104.advancedmd-direct.com

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.

• Pinnacle Healthcare, LLC

  dba Lake Orthopedic and Spine

  • Multi-Specialty Clinic/Center
  • Merrillville, IN
  • NPI 1922546530

  Family Medicine

  Medicare reassignment NPD
• Southlake Community Mental Health Center Inc.

  dba Regional Mental Health Center

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290
  Medicare reassignment NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  IN

  Medicare reassignment NPD
• Pinnacle Healthcare LLC

  dba Pinnacle Medical Group

  • Family Medicine Physician
  • Crown Point, IN
  • NPI 1184916447
  NPD
• Southlake Community Mental Health Center, Inc.

  dba Regional Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Hammond, IN
  • NPI 1134543960
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Osh-in Physicians Group, PC

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1073995338

  Family Medicine

  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386660900
  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386876233
  NPD (past)
• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289
  NPD (past)
• Home Physicians PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1811998438
  NPD (past)
• Osh-Oh Physicians Group PC

  dba OSH-OH Physicians Group, LLC

  • Primary Care Clinic/Center
  • Cleveland, OH
  • NPI 1346747946

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1205021268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3403 E RAYMOND ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462034744",
            "telephone_number": "317-957-2000",
            "fax_number": "317-957-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N KEYSTONE AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462182790",
            "telephone_number": "317-957-2300",
            "fax_number": "317-957-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2771 E US Highway 6 Ste B",
            "address_purpose": "LOCATION",
            "city": "Kendallville",
            "state": "IN",
            "postal_code": "467559341",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N Alabama St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042275",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 S Highland Ave Ste 280",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485371",
            "country_code": "US",
            "telephone_number": "773-920-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3535 W 13 Mile Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736770",
            "country_code": "US",
            "telephone_number": "313-800-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30700 Telegraph Rd Ste 1540",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480255811",
            "country_code": "US",
            "telephone_number": "313-800-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 W Golf Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "MT Prospect",
            "state": "IL",
            "postal_code": "600564276",
            "country_code": "US",
            "telephone_number": "630-521-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8741 S Greenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197061",
            "country_code": "US",
            "telephone_number": "630-521-3132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2486 Nerredia St Ste E",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485324807",
            "country_code": "US",
            "telephone_number": "313-800-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Jorie Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605234421",
            "country_code": "US",
            "telephone_number": "312-818-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETTE",
        "first_name": "KENYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301080824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107482",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01050551A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200291750",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everest Dental LLC
• Gilbert John Everett, R PH
• Jordan A Everett
• Logan Kevin Everett, MA, LMFT
• Madison Everett
• Robbyn Holbrook Everette, CRNA
• Evergreen Home Care (Right At Home)
• Margot Ann Everitt, MA LMFT
• Terri Lee Everitt
• Everlasting Home Care LLC

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.