Kendra Mary Pavao, PMHNP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN2325687 Issued in MA

Practice address

600 Joseph Dr
Fall River, MA 02720-4656

Phone

(508) 496-8234

NPI assigned

Mar 10, 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

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New England Center for Psychiatric and Addiction Disorders LLCGroup PAC ID 7911213764, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• New England Center for Psychiatric and Addiction Disorders, LLC

  • Addiction Psychiatry Physician
  • Attleboro, MA
  • NPI 1154713030
  Medicare reassignment Care Compare group NPD
• New England Center for Psychiatric and Addiction Disorders

  • Psychiatry Physician
  • Attleboro, MA
  • NPI 1083924013
  NPD (past)

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1740981471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOSEPH DR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOSEPH DR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204656",
            "telephone_number": "508-496-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVAO",
        "first_name": "KENDRA",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2325687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Lynn Pavao
• Amanda A Pavao, DS
• Cheryl L. Pavao, DS
• Jessica Pavao
• Kayla Pavao, RN
• Lindsay Pavao, ATC
• Makayla Marie Pavao
• Robert E Pavao, DDS
• Donna Payer, LICSW
• Kerri Payne, RPT

• Registered Nurse in Fall River, MA
• Providers in Fall River, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.