Teresa D Kendrick, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

803535 Issued in MS

Practice address

5699 Getwell Rd
Southaven, MS 38672-7312

Phone

(662) 584-5097

Fax

(662) 495-4079

NPI assigned

Aug 9, 2012

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMK EnterprisesGroup PAC ID 1254760341, 2 clinicians

Boa Vida Hospital of Aberdeen Ms LLCGroup PAC ID 0244505840, shared by 26 NPIs, 70 clinicians

Heale Counseling LLCGroup PAC ID 7416316880, 32 clinicians

Magnolia Regional Behavioral Health ServicesGroup PAC ID 3375820541, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
• Monroe Regional Hospital Hospital, Aberdeen, MS, CCN 251302
• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044
• Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
• Direct secure messaging: teresakendrick@magnolia.medalliesdirect.net

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.

• TMK Enterprises

  dba Southern Grace Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
  • NPI 1184251795
  Medicare reassignment Care Compare group NPD Authorized official
• Heale Counseling, LLC

  • Mental Health Counselor
  • Tupelo, MS
  • NPI 1093410243

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Magnolia Regional Behavioral Health Services

  • Psychiatry Physician
  • Corinth, MS
  • NPI 1033656889
  Medicare reassignment Care Compare group NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms, LLC

  dba Monroe Regional Hospital

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD
• Magnolia Hospitalist Group

  • Hospitalist Physician
  • Corinth, MS
  • NPI 1457547838
  Medicare reassignment NPD
• Tippah County Hospital

  dba Tippah County Health Clinic

  • Primary Care Clinic/Center
  • Ripley, MS
  • NPI 1215710967
  Medicare reassignment NPD
• Tippah County Hospital

  dba Tippah County Health Services

  • Critical Access Hospital
  • Ripley, MS
  • NPI 1730578600
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  dba MRH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  NPD
• Tippah County Hospital

  dba Tippah Care Walnut

  • Family Medicine Physician
  • Walnut, MS
  • NPI 1124823521
  NPD
• Tippah County Hospital

  dba Tippah County Health Services

  • Diagnostic Radiology Physician
  • Ripley, MS
  • NPI 1891720009
  NPD

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

• Baptist Memorial Hospital North Mississippi, Inc

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1053375576
  Care Compare affiliation
• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation
• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
  • NPI 1285164046
  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  dba North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare affiliation

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1437406485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020068",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5699 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727312",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "MS",
            "postal_code": "388293354",
            "country_code": "US",
            "telephone_number": "662-372-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 Alcorn Dr",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "388349321",
            "country_code": "US",
            "telephone_number": "662-293-5530",
            "fax_number": "662-293-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 S Spring St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388044822",
            "country_code": "US",
            "telephone_number": "662-584-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "TERESA",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MS",
            "license": "R803535",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "803535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00600734",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keep on Smiling Pediatric and General Dentistry PLLC
• Dominik Lia Keller, PHD
• Kelly Velasquez Psychiatric Mental Health Nurse Practitioner, LLC (DeSoto Psychiatric Care)
• Patrick John Kelly, DC
• Richard Allen Kelly, M.D.
• Zachary Lee Kennedy, P.T.
• Key Therapy, PLLC (Keys to Communication Speech, Language & Learning Center, PLLC)
• Taylor Nicole Keys, O.D.
• Fazila Khaliq, MD
• Nabeel Hasan Khan, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.

Verify at the official NPI Registry.