Individual provider Active NPI

Kendall Sacharczyk, WHNP-BC

  • Women's Health Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1427603323
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
32562 Issued in TN
Practice address
6584 Poplar Ave Ste 400
Germantown, TN 38138-3612
Phone
(901) 300-6713
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2515 TN
Women's Health Nurse Practitioner 363LW0102X 32562 TN Primary

Addresses

Primary practice location

6584 Poplar Ave Ste 400
Germantown, TN 38138-3612

Mailing address

6584 Poplar Ave Ste 400
Memphis, TN 38138-3612
Phone (901) 300-6713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20221107002218 TN Practitioner - Nurse Practitioner 0446627368 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2515TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Poplar Avenue Clinic PLLC Women'S Health CurrentSince Oct 1, 2022 Accepting new patients
Weeks Cancer Center PLLC Current Accepting new patients
Honeycomb Medical Group PLC CurrentSince May 1, 2024 Accepting new patients

Locations

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

6584 Poplar Ave
Ste 400
Memphis, TN 38138
Phone (901) 300-6713

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1427603323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE STE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383612",
            "telephone_number": "901-300-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 POPLAR AVE STE 400",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383612",
            "telephone_number": "901-300-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHARCZYK",
        "first_name": "KENDALL",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "2515",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "32562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.