Individual provider Active NPI

Teresa L. Kendrick, MA, AUD

  • Audiologist
  • Chevy Chase, MD
National Provider Identifier
1841446341
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0330 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6936
Phone
(301) 652-8847
Fax
(301) 652-3751
NPI assigned
Aug 15, 2008
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0330 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6936

Mailing address

5454 Wisconsin Ave Ste 1535
Chevy Chase, MD 20815-6936
Phone (301) 652-8847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000536 DC Practitioner - Qualified Audiologist 3870653751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Maryland School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

818 W Diamond Ave
Suite 120
Gaithersburg, MD 20878-1450
Phone (301) 963-6334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0330MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced ENT Care, LLC Audiologist CurrentSince Oct 1, 2017 Accepting new patients
Cumberland Valley ENT Consultants Past Accepting new patients
Carolyn Wyatt Audiology Services Inc Audiologist Past Accepting new patients

Locations

6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409

5454 Wisconsin Ave
Ste 1535
Chevy Chase, MD 20815
Phone (301) 652-8847

818 W Diamond Ave
Ste 120
Gaithersburg, MD 20878
Phone (301) 869-7204

10801 Lockwood Dr
Ste 360
Silver Spring, MD 20901
Phone (301) 519-8865

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1841446341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1535",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156936",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1535",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156936",
            "telephone_number": "301-652-8847",
            "fax_number": "301-652-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "TERESA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MA, AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "0330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.