Individual provider Active NPI

Avorie Kennard

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1245904333
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1017775 Issued in TX
Practice address
2633 Mill Springs Pass
Fort Worth, TX 76123-2617
Phone
(817) 703-4416
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1017775 TX Primary

Addresses

Primary practice location

2633 Mill Springs Pass
Fort Worth, TX 76123-2617

Mailing address

2633 Mill Springs Pass
Fort Worth, TX 76123-2617
Phone (181) 770-3441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211123000271 TX Practitioner - Nurse Practitioner 9335538297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1017775TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huguley Medical Associates CurrentSince May 23, 2022 Accepting new patients

Locations

220 SW Wilshire Blvd
Ste 0
Burleson, TX 76028

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

220 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 295-1121

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

Interoperability endpoints

  • Direct secure messaging: akennard1228205@adventhealth.direct-ci.com

Organizations & group practices 1

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1245904333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 MILL SPRINGS PASS",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232617",
            "telephone_number": "181-770-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 MILL SPRINGS PASS",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232617",
            "telephone_number": "817-703-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "AVORIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1017775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.