Kendall Cecilia Farr, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006300 Issued in NC

Practice address

14509 S Old Statesville Rd Ste 104
Huntersville, NC 28078-9655

Phone

(704) 266-2482

NPI assigned

Jan 1, 2021

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1346838711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 25TH ST APT 1136",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062842",
            "telephone_number": "678-907-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14509 S OLD STATESVILLE RD STE 104",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789655",
            "telephone_number": "704-266-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 S Old Statesville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787804",
            "country_code": "US",
            "telephone_number": "704-966-9876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARR",
        "first_name": "KENDALL",
        "middle_name": "CECILIA",
        "credential": "MS RD LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2023-01-23",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Prosthetic-Orthotic Services, Inc.
• Family Healthcare of Lake Norman PC
• John Fani Srour, M.D.
• Krishon L Farley, CD, CLC
• Candace Mayberry Farmer, MSW, LCSW
• FCRX Inc (Family Care Specialty Pharmacy)
• Sherlyn Felix-Quevedo
• Andrea Dawn Fender, PHARM D
• Lillian Shalini Ferdinands, MD
• Emily E Ferlo

• Registered Dietitian in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.