Individual provider Active NPI

Kendall Anne Merrill

  • Chiropractor
  • Orlando, FL
National Provider Identifier
1407795263
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH15838 Issued in FL
Practice address
604 Courtland St Ste 280
Orlando, FL 32804-1361
Phone
(407) 853-4829
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH15838 FL Primary

Addresses

Primary practice location

604 Courtland St Ste 280
Orlando, FL 32804-1361

Mailing address

604 Courtland St Ste 280
Orlando, FL 32804-1361
Phone (407) 853-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609004081 FL Practitioner - Chiropractic 7719458892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

604 Courtland St
Suite 280
Orlando, FL 32804-1318

955 N Orlando Ave Apt
Suite 343
Maitland, FL 32751-4493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH15838FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas First Chiropractic PA Chiropractor Current Accepting new patients

Locations

604 Courtland St
Ste 280
Orlando, FL 32804
Phone (407) 853-4829

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1407795263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 COURTLAND ST STE 280",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041361",
            "telephone_number": "407-853-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 COURTLAND ST STE 280",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041361",
            "telephone_number": "407-853-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "KENDALL",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.