Individual provider Active NPI

Kendra Larice Bell, NP

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1346900065
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11006114 Issued in FL
Practice address
8900 N Kendall Dr
Miami, FL 33176-2118
Phone
(786) 596-1960
NPI assigned
Dec 21, 2021
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11006114 FL Primary

Addresses

Primary practice location

8900 N Kendall Dr
Miami, FL 33176-2118

Mailing address

PO Box 198054
Atlanta, GA 30384-2118
Phone (786) 596-6743

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KEN03400@cerner.directbaptisthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20231208002128 GA Practitioner - Nurse Practitioner 8325432446 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Wound Solutions PCGroup PAC ID 2668917865, 3 clinicians

Practice addresses (Care Compare)

2850 Springdale Rd SW
Atlanta, GA 30315-7802
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006114FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Wound Care of Georgia LLC CurrentSince Oct 11, 2023 Accepting new patients
Regenerative Wound Solutions PC CurrentSince May 1, 2024 Accepting new patients
Medical Director Services PC CurrentSince Mar 11, 2024 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Mar 11, 2024 Accepting new patients

Locations

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Interoperability endpoints

  • Direct secure messaging: ken03400@cerner.directbaptisthealth.com

Organizations & group practices 4

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": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1346900065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842118",
            "telephone_number": "786-596-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762118",
            "telephone_number": "786-596-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "KENDRA",
        "middle_name": "LARICE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11006114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KEN03400@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8900 N Kendall Dr",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.