Individual provider Active NPI

Kendall Day Melendi, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1508479411
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008075 Issued in FL
Practice address
6499 38TH Ave N Ste B2
St Petersburg, FL 33710-1650
Phone
(727) 347-6635
NPI assigned
Aug 28, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11008075 FL Primary

Addresses

Primary practice location

6499 38TH Ave N Ste B2
St Petersburg, FL 33710-1650

Mailing address

225 W North St
Tampa, FL 33604-6016
Phone (813) 767-3842

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925000974 FL Practitioner - Nurse Practitioner 8628497500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

6499 38TH Ave N
Suite B2
St Petersburg, FL 33710-1650
Phone (813) 321-1786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11008075FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions CurrentSince Sep 21, 2020 Accepting new patients
Douglas K Pierce MD PA PastSince Sep 21, 2020 Accepting new patients

Locations

4651 Van Dyke Rd
Lutz, FL 33558
Phone (813) 321-1783

13007 Summerfield Square Dr
Riverview, FL 33578
Phone (510) 206-7935

13009 Summerfield Square Dr
Riverview, FL 33578

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

8787 Bryan Dairy Rd
Ste 360
Seminole, FL 33777
Phone (727) 393-4900

6499 38th Ave N
Ste B2
St Petersburg, FL 33710
Phone (727) 347-6635

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1508479411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W NORTH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336046016",
            "telephone_number": "813-767-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6499 38TH AVE N STE B2",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101650",
            "telephone_number": "727-347-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDI",
        "first_name": "KENDALL",
        "middle_name": "DAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.