Kendrick Terrill Clack, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP125826 Issued in TX

Practice address

3701 Kirby Dr Ste 1230
Houston, TX 77098-3916

Phone

(713) 526-0005

NPI assigned

Jul 23, 2014

Last updated

Jul 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Howard Brown Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1306048632
  Medicare reassignment NPD
• Howard Brown Health Center

  dba Howard Brown Health at La Casa Norte

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1427523125
  NPD
• Howard Brown Health Center

  dba Howard Brown Health Halsted

  • Health Educator
  • Chicago, IL
  • NPI 1881913531
  NPD
• Harris County Public Health & Environmental Services

  • Case Management Agency
  • Houston, TX
  • NPI 1821122300
  NPD (past)
• Harris County Public Health and Environmental Services - Hit

  • Public Health or Welfare Agency
  • Houston, TX
  • NPI 1528424835
  NPD (past)
• Howard Brown Health Center

  • Health Educator
  • Chicago, IL
  • NPI 1811824121
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1730597659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983916",
            "telephone_number": "713-526-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KIRBY DR STE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983916",
            "telephone_number": "713-526-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLACK",
        "first_name": "KENDRICK",
        "middle_name": "TERRILL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125826",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CKS Health & Rehabilitation
• CKW Squared LLC (Main Stop RX)
• Chelsea Alexis King Claboine, M.ED., CCC-SLP
• Jaymie Claire Clack, OTRL
• Jeannie Marie Clack, OT
• Claire Berry Does Therapy PLLC
• Claire H Chang MD PA
• Claire K. Getschow PLLC
• Melissa M Claire, RN
• Vanessa Cora Clairjeune, LMSW

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.