Individual provider Active NPI

Kendall Connick, NP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1285017202
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08372 Issued in LA
Practice address
2017 Metairie Rd
Metairie, LA 70005-3832
Phone
(504) 832-8022
Fax
(504) 832-8044
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 AP08372 LA Primary

Addresses

Primary practice location

2017 Metairie Rd
Metairie, LA 70005-3832

Mailing address

9 Beverly Garden Dr
Metairie, LA 70001-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP08372LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Pediatrics, LLC Current Accepting new patients
Keith a. Collins MD LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1285017202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEVERLY GARDEN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053832",
            "telephone_number": "504-832-8022",
            "fax_number": "504-832-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNICK",
        "first_name": "KENDALL",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.