Individual provider Active NPI

Kendra Raquel Fitzpatrick, DNP, ARNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Renton, WA
National Provider Identifier
1265098891
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP60966086 Issued in WA
Practice address
3915 Talbot Rd S
Renton, WA 98055-5738
Phone
(425) 690-3400
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP60966086 WA Primary

Addresses

Primary practice location

3915 Talbot Rd S
Renton, WA 98055-5738

Mailing address

714 1St St S Unit a
Kirkland, WA 98033-6561
Phone (425) 647-8017

Other practice location 1

4033 Talbot Rd S
Renton, WA 98055-5772
Phone (425) 690-3489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190918001060 WA Practitioner - Nurse Practitioner 7719217751 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton CurrentSince Aug 1, 2019 Accepting new patients
Christine M James ND PLLC Past Accepting new patients
Public Hospital District #1 of King County Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

3915 Talbot Rd S
Renton, WA 98055
Phone (425) 630-3400

3915 Talbot Rd S
Ste 100
Renton, WA 98055
Phone (425) 656-5345

4033 Talbot Rd S
Renton, WA 98055
Phone (425) 690-3489

Interoperability endpoints

  • Direct secure messaging: kendra.fitzpatrick.1@14407.direct.athenahealth.com
  • Direct secure messaging: kendra.fitzpatrick@70976835354628.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1265098891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 1ST ST S UNIT A",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336561",
            "telephone_number": "425-647-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 TALBOT RD S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555738",
            "telephone_number": "425-690-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4033 Talbot Rd S",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555772",
            "country_code": "US",
            "telephone_number": "425-690-3489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KENDRA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP60966086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.