Active NPI
Kendra Marcinowski, ARNP
- Obstetrics & Gynecology Nurse Practitioner
- Tallahassee, FL
National Provider Identifier
1447633375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- ARNP 3291382
- Practice address
- 1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647 - Phone
- (850) 877-7241
- Fax
- (850) 877-1338
- NPI assigned
- Jul 9, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | ARNP 3291382 | FL | Primary |
Addresses
Primary practice location
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Mailing address
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone (850) 877-7241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 3291382 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Women'S Care, P.a. | Current | Accepting new patients |
Locations
1401 Centerville Rd
Ste 202
Tallahassee, FL 32308
Phone (850) 205-0393
1219 Hodges Dr
Tallahassee, FL 32308
Phone (850) 877-5767
Interoperability endpoints
- kendra.marcinowski.1@28306.direct.athenahealth.com
- https://api.platform.athenahealth.com/28306/brand/1/csg/1/fhir/r4
- kmarcinowski21628@tallahasseememorial.direct-ci.com
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.
-
- Specialist
- Tallahassee, FL
- NPI 1790801587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1447633375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "SUITE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084647",
"telephone_number": "850-877-7241",
"fax_number": "850-877-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CENTERVILLE RD",
"address_2": "SUITE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084647",
"telephone_number": "850-877-7241",
"fax_number": "850-877-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINOWSKI",
"first_name": "KENDRA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "ARNP 3291382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.