Active NPI
Elizabeth Corrine Kendrick, ARNP
- Advanced Practice Midwife
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN9240846
- Practice address
- 1301 2ND Ave SW
Largo, FL 33770-3120 - Phone
- (727) 462-2229
- Fax
- (727) 447-5610
- NPI assigned
- Sep 3, 2013
- Last updated
- Jan 24, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP9240846 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN9240846 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW
Largo, FL 33770-3120
Mailing address
PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0333
Other practice location 1
2 Tampa General Cir
STC 6th Floor
Tampa, FL 33606-3603
Phone (813) 259-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009627000 | Medicaid | FL | |
| Y0JR1 | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekendrick62652@direct.tgh.org |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Central Ave
Suite 400
Saint Petersburg, FL 33701-3600
Phone (727) 895-1300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9240846 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
1301 2nd Ave SW
Largo, FL 33770
Phone (727) 581-8767
34041 US Highway 19 N
Ste C
Palm Harbor, FL 34684
Phone (727) 281-9649
700 Central Ave
Ste 400
St Petersburg, FL 33701
Phone (727) 895-1300
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551
4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333
5002 W Lemon St
Tampa, FL 33609
Interoperability endpoints
- ekendrick62652@direct.tgh.org
- elizabeth.kendrick@wcfnf.eclinicaldirectplus.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
Nurse Practitioner
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1578997086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748817",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748817",
"telephone_number": "813-286-0333",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-462-2229",
"fax_number": "727-447-5610"
}
],
"practiceLocations": [
{
"address_1": "2 Tampa General Cir",
"address_2": "STC 6th Floor",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063603",
"country_code": "US",
"telephone_number": "813-259-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDRICK",
"first_name": "ELIZABETH",
"middle_name": "CORRINE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "ARNP9240846",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9240846",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009627000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y0JR1",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekendrick62652@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"address_2": "STC 6th Floor",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.