Individual provider Active NPI

Kendal King, CNP

  • Women's Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1699025379
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA13825NP Issued in OH
Practice address
3525 Olentangy River Rd
Suite 6350
Columbus, OH 43214-3937
Phone
(614) 734-3347
Fax
(614) 265-2513
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA13825NP OH Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 369264 OH

Addresses

Primary practice location

3525 Olentangy River Rd
Suite 6350
Columbus, OH 43214-3937

Mailing address

3525 Olentangy River Rd
Suite 6350
Columbus, OH 43214-3937
Phone (614) 734-3347

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kking113139@direct.ohiohealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000011 OH Practitioner - Nurse Practitioner 4486805918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Women Physicians in OBGYN IncGroup PAC ID 3678550282, 10 clinicians

Practice addresses (Care Compare)

5080 Bradenton Ave
Suite B
Dublin, OH 43017-7582
Phone (614) 734-3347

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA13825NPOHMDWomen's Health Nurse Practitioner
369264OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women Physicians in OBGYN, Inc CurrentSince Sep 12, 2012 Accepting new patients

Locations

3525 Olentangy River Rd
Ste 6350
Columbus, OH 43214
Phone (614) 734-3347

5080 Bradenton Ave
Ste B
Dublin, OH 43017
Phone (614) 734-3347

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.

Hospital & facility affiliations 2

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1699025379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 6350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-734-3347",
            "fax_number": "614-265-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 6350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-734-3347",
            "fax_number": "614-265-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KENDAL",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA13825NP",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "369264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kking113139@direct.ohiohealth.com",
            "affiliation": "N",
            "endpointDescription": "Main office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3525 Olentangy River Rd",
            "address_2": "Suite 6350",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.