Active NPI
Debra Annette Kendrick, RN, CCRN, CPAN
- Registered Nurse
- Bethesda, MD
National Provider Identifier
1821346081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN137104
- Practice address
- Wrnmmc B
8901 Wisconsin Ave, Pacu
Bethesda, MD 20889-5600 - Phone
- (301) 295-4111
- NPI assigned
- Aug 20, 2012
- Last updated
- Aug 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN137104 | LA | Primary |
| Registered Nurse | 163W00000X | R163198 | MD | |
| Registered Nurse | 163W00000X | RN9286349 | FL |
Addresses
Primary practice location
Wrnmmc B
8901 Wisconsin Ave, Pacu
Bethesda, MD 20889-5600
Mailing address
13244 Country Ridge Dr
Germantown, MD 20874-1146
Phone (301) 801-1455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9286349 | FL | MD | Registered Nurse |
| RN137104 | LA | MD | Registered Nurse |
| R163198 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345420800000",
"number": "1821346081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13244 COUNTRY RIDGE DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741146",
"telephone_number": "301-801-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRNMMC B",
"address_2": "8901 WISCONSIN AVE, PACU",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895600",
"telephone_number": "301-295-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "DEBRA",
"middle_name": "ANNETTE",
"credential": "RN, CCRN, CPAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2012-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN137104",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R163198",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9286349",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.