Active NPI
Casandra Kendrick, D.O.
- Family Medicine Physician
- Richmond, KY
National Provider Identifier
1346637477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04406
- Practice address
- 858 Eastern Byp
Richmond, KY 40475-2512 - Phone
- (859) 626-0072
- Fax
- (859) 626-9684
- NPI assigned
- Apr 15, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 04406 | KY | Primary |
Addresses
Primary practice location
858 Eastern Byp
Richmond, KY 40475-2512
Mailing address
858 Eastern Byp
Richmond, KY 40475-2512
Phone (859) 626-0072
Other practice location 1
350 Hospital Way
Suite 101
Somerset, KY 42503-2872
Phone (606) 451-5092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181106002267 | KY | Practitioner - Family Practice | 9032463237 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- H2 Rehabilitation Services of Kentucky, LLCKentucky Orthopedic Rehabilitation LLC
Practice addresses (Care Compare)
193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055
235 Boggs LN
Suite 9
Richmond, KY 40475-3325
Phone (859) 972-8630
858 Eastern Bypass
Richmond, KY 40475-2512
Phone (859) 626-0072
Hospital & facility affiliations
- Caretenders
- Baptist Health Richmond
- Baptist Health Lexington
- Saint Joseph East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04406 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
858 Eastern Byp
Richmond, KY 40475
Phone (859) 626-0072
Interoperability endpoints
- casandra.kendrick.1@13059.direct.athenahealth.com
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.
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, KY
- NPI 1841474590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1346637477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "858 EASTERN BYP",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752512",
"telephone_number": "859-626-0072",
"fax_number": "859-626-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "858 EASTERN BYP",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752512",
"telephone_number": "859-626-0072",
"fax_number": "859-626-9684"
}
],
"practiceLocations": [
{
"address_1": "350 Hospital Way",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425032872",
"country_code": "US",
"telephone_number": "606-451-5092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDRICK",
"first_name": "CASANDRA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.