Myra E Kendall, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01360 ANP Issued in AR

Practice address

301 S Main St
Cave City, AR 72521-9476

Phone

(870) 283-5353

Fax

(870) 283-5988

NPI assigned

Jan 30, 2006

Last updated

Nov 16, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• White River Health System, Inc.

  dba Hardy Medical Clinic

  • Primary Care Clinic/Center
  • Cherokee Village, AR
  • NPI 1508846015
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1831160670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725210247",
            "telephone_number": "870-283-5353",
            "fax_number": "870-283-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219476",
            "telephone_number": "870-283-5353",
            "fax_number": "870-283-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "MYRA",
        "middle_name": "E",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01360 ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159047758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitley Herrin, PTA
• Kendra Hoggard
• Brandi Howard
• Jeremy Johnson, PTA
• Melissa Johnson
• Rachel Koch
• Patricia Kourakis
• Abigayle Lynne Lagore, COTA/L
• Robin Lopez
• Alexis Lyons

• Family Nurse Practitioner in Cave City, AR
• Providers in Cave City, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.