Active NPI
Kathryn Mary Kendall, FNP
- Family Nurse Practitioner
- South Portland, ME
National Provider Identifier
1609159276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP111063
- Practice address
- 51 Market St
South Portland, ME 04106-3617 - Phone
- (866) 389-2727
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN40707 | ME | |
| Family Nurse Practitioner | 363LF0000X | CNP111063 | ME | Primary |
Addresses
Primary practice location
51 Market St
South Portland, ME 04106-3617
Mailing address
51 Market St
South Portland, ME 04106-3617
Phone (866) 389-2727
Other practice location 1
66 Water St
Wiscasset, ME 04578-4133
Phone (207) 882-6008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003386301 | Other | ME | MEDICARE POVIDER IDENTIFICATION NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- kathryn.kendall@wfm.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609159276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 MARKET ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063617",
"telephone_number": "866-389-2727",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MARKET ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063617",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "66 Water St",
"address_purpose": "LOCATION",
"city": "Wiscasset",
"state": "ME",
"postal_code": "045784133",
"country_code": "US",
"telephone_number": "207-882-6008",
"fax_number": "207-882-7803",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDALL",
"first_name": "KATHRYN",
"middle_name": "MARY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN40707",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP111063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE POVIDER IDENTIFICATION NUMBER",
"identifier": "003386301",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.