Individual provider Active NPI

Kendall Jo Alig, FNP-BC

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1396263323
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007318A Issued in IN
Practice address
1911 Chester Blvd
Richmond, IN 47374-1212
Phone
(765) 962-4872
Fax
(765) 935-8913
NPI assigned
Aug 30, 2017
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007318A IN Primary

Addresses

Primary practice location

1911 Chester Blvd
Richmond, IN 47374-1212

Mailing address

1100 Reid Pkwy
Medical Staff SVCS
Richmond, IN 47374
Phone (765) 983-3300

Other practice location 1

1380 Chester Blvd.
Wound Care Ctr
Richmond, IN 47374
Phone (765) 983-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kalig302022@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170913003990 IN Practitioner - Nurse Practitioner 9032482021 Reassigns benefits to 2 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
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1911 Chester Blvd
Richmond, IN 47374-1212
Phone (765) 962-4872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007318AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Sep 25, 2017 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 25, 2017 Accepting new patients

Locations

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

1380 Chester Blvd
Richmond, IN 47374
Phone (317) 962-9578

1911 Chester Blvd
Richmond, IN 47374
Phone (765) 939-7711

Interoperability endpoints

  • Direct secure messaging: kalig302022@reidhealth.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1396263323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "address_2": "MEDICAL STAFF SVCS",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "47374",
            "telephone_number": "765-983-3300",
            "fax_number": "765-983-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741212",
            "telephone_number": "765-962-4872",
            "fax_number": "765-935-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Chester Blvd.",
            "address_2": "Wound Care Ctr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "47374",
            "country_code": "US",
            "telephone_number": "765-983-3300",
            "fax_number": "765-983-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALIG",
        "first_name": "KENDALL",
        "middle_name": "JO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007318A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kalig302022@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1380 Chester Blvd.",
            "address_2": "Wound Care Ctr",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.