Kendyl L Bobbie-Gulliford, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ15311600 Issued in NJ

Practice address

932 Mount Rd
Burlington City, NJ 08016-2826

Phone

(609) 864-6679

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attentive Care General Practice of Medicine of NJ, PCGroup PAC ID 7416466636, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Attentive Care General Practice of Medicine of NJ PC

  • Physical Medicine & Rehabilitation Physician
  • Cedarhurst, NY
  • NPI 1528877628

  NJ

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1336933241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 MOUNT RD",
            "city": "BURLINGTON CITY",
            "state": "NJ",
            "postal_code": "080162826",
            "telephone_number": "609-864-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 MOUNT RD",
            "city": "BURLINGTON CITY",
            "state": "NJ",
            "postal_code": "080162826",
            "telephone_number": "609-864-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBIE-GULLIFORD",
        "first_name": "KENDYL",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15311600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Devaughn
• Diamond Valley Behavioral LLC
• Vanessa Hamilton Hawkins
• Faviola Seche, NP
• Southern Jersey Family Medical Centers, Inc

• Nurse Practitioner in Burlington City, NJ
• Providers in Burlington City, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.

Verify at the official NPI Registry.