Individual provider Active NPI

Jamie Perkins Kendrick, FNP-C

  • Family Nurse Practitioner
  • Vernon, AL
National Provider Identifier
1215787197
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3-001740 Issued in AL
Practice address
230 Hospital Dr
Vernon, AL 35592-5251
Phone
(205) 523-8304
NPI assigned
Mar 25, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 906586 MS
Family Nurse Practitioner 363LF0000X 3-001740 AL Primary

Addresses

Primary practice location

230 Hospital Dr
Vernon, AL 35592-5251

Mailing address

230 Hospital Dr
Vernon, AL 35592-5251
Phone (205) 695-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240816002782 AL Practitioner - Nurse Practitioner 2466990791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Practice addresses (Care Compare)

141 2ND Ave NW
Vernon, AL 35592-5765
Phone (205) 695-0450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
906586MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services Inc CurrentSince May 16, 2024 Accepting new patients
Whatley Health Services, Inc. CurrentSince May 16, 2024 Accepting new patients

Locations

200 Morrow Ave
Eutaw, AL 35462
Phone (205) 372-0011

800 Hall St
Greensboro, AL 36744
Phone (334) 624-0871

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

141 2nd Ave NW
Vernon, AL 35592
Phone (205) 695-0450

230 Hospital Dr
Vernon, AL 35592
Phone (205) 614-6060

415 Derby Dr
York, AL 36925
Phone (205) 392-9656

Interoperability endpoints

  • Direct secure messaging: jkendrick714789@direct.ochin.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1215787197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL DR",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925251",
            "telephone_number": "205-695-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HOSPITAL DR",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355925251",
            "telephone_number": "205-523-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JAMIE",
        "middle_name": "PERKINS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906586",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-001740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, AL

Sources for this page

Verify at the official NPI Registry.