NPIMap

Individual provider Active NPI

Kedron M Hendley, FNP

  • Nurse Practitioner
  • Marion, NC
National Provider Identifier
1679884449
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004762 Issued in NC
Practice address
2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone
(828) 652-8727
Fax
(828) 652-8793
NPI assigned
Jun 28, 2010
Last updated
Apr 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004762 NC Primary

Addresses

Primary practice location

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787

Mailing address

2293 Sugar Hill Rd Ste D
Marion, NC 28752-7787
Phone (828) 652-8727

Other practice location 1

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Other practice location 2

5920 US Highway 70 E
Nebo, NC 28761-9565
Phone (828) 659-9703

Other identifiers 1

IdentifierTypeStateIssuer
1679884449MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000690 NC Practitioner - Nurse Practitioner 2769514967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 28, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jun 28, 2010 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

2293 Sugar Hill Rd
#D
Marion, NC 28752
Phone (828) 652-8727

2293 Sugar Hill Rd
Ste D
Marion, NC 28752
Phone (828) 652-8727

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

5920 US Highway 70 E
Nebo, NC 28761
Phone (828) 659-9703

Organizations & group practices 6

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1679884449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 SUGAR HILL RD STE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 SUGAR HILL RD STE D",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287527787",
            "telephone_number": "828-652-8727",
            "fax_number": "828-652-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 W Fleming Dr",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554450",
            "country_code": "US",
            "telephone_number": "828-580-3278",
            "fax_number": "828-580-3279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5920 US Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287619565",
            "country_code": "US",
            "telephone_number": "828-659-9703",
            "fax_number": "828-659-9357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDLEY",
        "first_name": "KEDRON",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679884449",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.