Kendall Nicole Delue, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2156387 Issued in TX

Practice address

15210 Interstate 45 S Ste 108
Conroe, TX 77384-4967

Phone

(832) 702-7272

NPI assigned

Dec 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21888/brand/1/csg/1/fhir/r4

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.

• Vaddcarm LLC

  • Physical Therapist
  • Conroe, TX
  • NPI 1952843427
  NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1730957671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S STE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 INTERSTATE 45 S STE 108",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844967",
            "telephone_number": "832-702-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUE",
        "first_name": "KENDALL",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2156387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptiste John Dejean III, M.D.
• Natalie Del Angel, MSN, APRN, FNP-C
• Zulines Del Toro, RN
• Tracie Marie Delaney, APRN, FNP-C
• Krystal Deleon, MD
• Charlie Frank Dendy, DO
• Tyler Davis Denman, RN
• Cole Denny
• Dental Health Associates of Texas, PC
• Dental Health Associates of Texas, PC

• Physical Medicine & Rehabilitation Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.