Active NPI
Stephanie Carson Kendrick, CRNP
- Family Nurse Practitioner
- Opelika, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-084436
- Practice address
- 2000 Pepperell Pkwy
Opelika, AL 36801-5452 - Phone
- (334) 528-5400
- Fax
- (334) 528-5421
- NPI assigned
- Jul 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-084436 | AL | Primary |
Addresses
Primary practice location
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Mailing address
2601 Village Professional Dr N
Opelika, AL 36801-4784
Phone (334) 528-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061212000409 | AL | Practitioner - Nurse Practitioner | 1456350818 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 528-5400
Hospital & facility affiliations
- The East Alabama Healthcare Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 64.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-084436 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Alabama Heart and Vascular, LLC | Current | Accepting new patients |
Locations
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
2601 Village Professional Dr N
Opelika, AL 36801
Phone (334) 528-5959
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Opelika, AL
- NPI 1073120119
AL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1396767331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 VILLAGE PROFESSIONAL DR N",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368014784",
"telephone_number": "334-528-5400",
"fax_number": "334-528-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 PEPPERELL PKWY",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368015452",
"telephone_number": "334-528-5400",
"fax_number": "334-528-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "STEPHANIE",
"middle_name": "CARSON",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-084436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.