Individual provider Active NPI

Kendall Dupree, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1730336603
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1008805 Issued in DE
Practice address
5189 W Woodmill Dr
Ste 30
Wilmington, DE 19808-4009
Phone
(302) 633-6001
NPI assigned
Aug 22, 2008
Last updated
Dec 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C1008805 DE Primary

Addresses

Primary practice location

5189 W Woodmill Dr
Ste 30
Wilmington, DE 19808-4009

Mailing address

5189 W Woodmill Dr
Wilmington, DE 19808-4009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419001198 VA Practitioner - Psychiatry 7517035447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1008805DEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amen Clinics, Inc DC Past Accepting new patients
Harmonious Mind LLC PastSince Sep 1, 2005 Accepting new patients
Greenbrook TMS Roanoke Psychiatry PastSince Nov 21, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kendall.dupree.1@18773.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1730336603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5189 W WOODMILL DR",
            "address_2": "STE 30",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084009",
            "telephone_number": "302-633-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "KENDALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1008805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.