Active NPI
Kendra Joelle James, NP-C, AGACNP-BC
- Nurse Practitioner
- Pismo Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95008969
- Practice address
- 2 James Way
Pismo Beach, CA 93449 - Phone
- (805) 295-6594
- NPI assigned
- Jul 30, 2015
- Last updated
- Jun 10, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95008969 | CA | Primary |
Addresses
Primary practice location
2 James Way
Pismo Beach, CA 93449
Mailing address
2 James Way
Pismo Beach, CA 93449-4973
Phone (805) 295-6594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | OK | DO NOT HAVE AN IDENTIFICATION NUMBER YET |
Other names 1
- Mrs. Kendra Joelle Weichbrodt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1606 E Clark Ave
Suite 2
Santa Maria, CA 93455-7507
Phone (805) 569-7351
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Urgent Care Inc | Current | Accepting new patients | |
| Cottage Clinical Network, LLC | Current | Accepting new patients | |
| Cottage Medical Associates | Past | Accepting new patients |
Locations
9700 El Camino Real
Ste 100
Atascadero, CA 93422
Phone (805) 461-9000
7070 Hollister Ave
Ste C23
Goleta, CA 93117
1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526
783 Quintana Rd
Ste 1
Morro Bay, CA 93442
Phone (805) 771-0108
1606 E Clark Ave
#102
Orcutt, CA 93455
2 James Way
Ste 214
Pismo Beach, CA 93449
Phone (805) 295-6594
1606 E Clark Ave
Ste 2
Santa Maria, CA 93455
1708 S Victoria Ave
Ste D
Ventura, CA 93003
Phone (805) 290-4985
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cottage Urgent Care
- Urgent Care Clinic/Center
- Santa Barbara, CA
- NPI 1588209357
-
dba Urgent Care of Atascadero
- Urgent Care Clinic/Center
- Morro Bay, CA
- NPI 1427372226
-
- Internal Medicine Physician
- Santa Barbara, CA
- NPI 1972669562
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686355200000",
"number": "1316323447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 JAMES WAY",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "934494973",
"telephone_number": "805-295-6594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JAMES WAY",
"city": "PISMO BEACH",
"state": "CA",
"postal_code": "93449",
"telephone_number": "805-295-6594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "KENDRA",
"middle_name": "JOELLE",
"name_prefix": "Ms.",
"credential": "NP-C, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2023-06-10",
"certification_date": "2023-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95008969",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DO NOT HAVE AN IDENTIFICATION NUMBER YET",
"identifier": "NA",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENDRA",
"last_name": "WEICHBRODT",
"middle_name": "JOELLE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pismo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.