Individual provider Active NPI

Susan Kendrick, APRN

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1306536156
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05230061 Issued in TX
Practice address
4921 Bridgewater Dr
Arlington, TX 76017-2729
Phone
(214) 779-2128
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F05230061 TX Primary

Addresses

Primary practice location

4921 Bridgewater Dr
Arlington, TX 76017-2729

Mailing address

4921 Bridgewater Dr
Arlington, TX 76017-2729
Phone (214) 779-2128

Other names 1

  • Susan Kendrick Professional name

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
I20230925003874 TX Practitioner - Nurse Practitioner 0648624668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Contemporary Medicine Associates, PLLCGroup PAC ID 6002964285, 29 clinicians

Practice addresses (Care Compare)

6565 W Loop S
Suite 525
Bellaire, TX 77401-3519
Phone (713) 677-2475

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05230061TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Medicine Associates, PLLC Single Specialty CurrentSince Jun 14, 2023 Accepting new patients

Locations

6565 West Loop S
Ste 525
Bellaire, TX 77401
Phone (713) 661-7888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1306536156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 BRIDGEWATER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172729",
            "telephone_number": "214-779-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 BRIDGEWATER DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760172729",
            "telephone_number": "214-779-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "SUSAN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F05230061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KENDRICK",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.