Individual provider Active NPI

Indria Kendrick, NP-C

  • Family Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1225648629
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP213731 Issued in LA
Practice address
62 Creduer Rd
Pineville, LA 71360-9165
Phone
(318) 442-9959
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP213731 LA
Family Nurse Practitioner 363LF0000X AP213731 LA Primary

Addresses

Primary practice location

62 Creduer Rd
Pineville, LA 71360-9165

Mailing address

62 Creduer Rd
Pineville, LA 71360-9165
Phone (318) 442-9959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20210514000086 LA Practitioner - Nurse Practitioner 4880003201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cenla Family Medicine Associates, LLCGroup PAC ID 7517010705, 18 clinicians

Practice addresses (Care Compare)

1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP213731LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC Current Accepting new patients
Cenla Family Medicine Associates, LLC Nurse Practitioner CurrentSince Aug 2, 2021 Accepting new patients
CLHG-Avoyelles LLC Family CurrentSince May 1, 2021 Accepting new patients
CLHG-Avoyelles LLC CurrentSince May 1, 2021 Accepting new patients

Locations

1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823

301 4th St
Ste 30124
Alexandria, LA 71301
Phone (318) 445-9823

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDCAA

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": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1225648629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CREDUER RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713609165",
            "telephone_number": "318-442-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CREDUER RD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713609165",
            "telephone_number": "318-442-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "INDRIA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP213731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP213731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.