Active NPI
Kendra Lucinda Homer, RN
- School Registered Nurse
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R247683
- Practice address
- 525 N Wolfe St
Baltimore, MD 21205-2110 - Phone
- (410) 955-4766
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R247683 | MD | Primary |
Addresses
Primary practice location
525 N Wolfe St
Baltimore, MD 21205-2110
Mailing address
618 S Port St
Baltimore, MD 21224-3647
Phone (760) 713-7126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1215 Lee St
Charlottesville, VA 22908-0816
Phone (434) 924-0000
Hospital & facility affiliations
- University of Virginia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R247683 | MD | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rector and Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients | |
| Rector & Visitors of the University of Virginia | Current | Accepting new patients |
Locations
2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520
1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
-
- Community/Retail Pharmacy
- Charlottesville, VA
- NPI 1790399202
-
- Nurse Practitioner
- Charlottesville, VA
- NPI 1265560262
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlottesville, VA
- NPI 1780630608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1235709668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 S PORT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243647",
"telephone_number": "760-713-7126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212052110",
"telephone_number": "410-955-4766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "KENDRA",
"middle_name": "LUCINDA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MD",
"license": "R247683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
- 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.