Individual provider Active NPI

Kendall Wayne Helms Jr., ARNP

  • Family Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1659670222
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-082539 Issued in AL
Practice address
3 Medical Park
Fairhope, AL 36532-1804
Phone
(251) 929-3058
Fax
(251) 929-3067
NPI assigned
Mar 22, 2011
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 1-082539 AL Primary

Addresses

Primary practice location

3 Medical Park
Fairhope, AL 36532-1804

Mailing address

633 E Baldwin Rd
Panama City, FL 32405-4207
Phone (850) 522-5490

Other names 1

  • Mr. Ken W Helms Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-082539ALMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1659670222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054207",
            "telephone_number": "850-522-5490",
            "fax_number": "850-522-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321804",
            "telephone_number": "251-929-3058",
            "fax_number": "251-929-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMS",
        "first_name": "KENDALL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-082539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEN",
            "last_name": "HELMS",
            "middle_name": "W",
            "prefix": "MR.",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.