Keri Kay Kendall, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1129331 Issued in TX

Practice address

122 River Oaks Dr
Southlake, TX 76092-6790

Phone

(817) 778-8884

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Green Peacock, PLLC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1154139202
  NPD Authorized official
• PBH Medical, LLC

  • Child & Adolescent Psychiatry Physician
  • Southlake, TX
  • NPI 1649788373
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1619657129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 BERKLEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241041",
            "telephone_number": "214-797-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 RIVER OAKS DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926790",
            "telephone_number": "817-778-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "KERI",
        "middle_name": "KAY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1129331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Leeanne Kellogg, AU.D.
• Kelly Cheatham Counseling
• Brooks Brenden Kelly, MD
• Madison Alysse Kemp, PMHNP-BC
• Kendall Care, LLC
• Michiel Judson Kendall, D.C.
• Pamela Rachele Kendall, D.C.
• Olivia Victoria Kern, OT
• Avery Kesterson, LPC-ASSOCIATE
• Sabrina Khan

• Psychiatric/Mental Health Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.