Active NPI
Kendall Aldridge, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1669144507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14955
- Practice address
- 6410 Fannin St Ste 370
Houston, TX 77030-3004 - Phone
- (713) 486-6740
- NPI assigned
- Sep 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14955 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 370
Houston, TX 77030-3004
Mailing address
5927 Almeda Rd Unit 22405
Houston, TX 77004-8075
Phone (512) 423-4781
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
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1669144507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5927 ALMEDA RD UNIT 22405",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770048075",
"telephone_number": "512-423-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 370",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303004",
"telephone_number": "713-486-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDRIDGE",
"first_name": "KENDALL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.