Jordan Blaire Kendrick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003665 Issued in AR

Practice address

145 Shake Rag Rd
Clinton, AR 72031

Phone

(501) 745-7161

Fax

(501) 745-8714

NPI assigned

Mar 7, 2012

Last updated

Jun 4, 2018By 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 names 1

• Mrs. Jordan Blaire Blakeney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Cowherd Family Medical Center, PA

  • Family Medicine Physician
  • Heber Springs, AR
  • NPI 1780622241
  NPD (past)
• Physicians Medical Group PLC

  dba Starnes Family Clinic

  • Rural Health Clinic/Center
  • Clinton, AR
  • NPI 1942226212
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1841564895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SHAKE RAG RD",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316682",
            "telephone_number": "501-745-7161",
            "fax_number": "501-745-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SHAKE RAG RD",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-7161",
            "fax_number": "501-745-8714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Baptist Health Dr",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "725450001",
            "country_code": "US",
            "telephone_number": "501-362-0500 x136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JORDAN",
        "middle_name": "BLAIRE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BLAKENEY",
            "middle_name": "BLAIRE",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Klinton Johnson, RECOVERY ASSISTANT
• Judy Johnston, L.P.E.
• Jones Family Pharmacy Inc.
• Stephen D Jones, LAC
• Lesley Brooke Keith, APRN
• Brian Kennedy
• Larry King, CMP
• Jesse Blake Kitchens, D.D.S.
• Deajay Klett
• Kyle D Hensley DDS Inc

• Family Nurse Practitioner in Clinton, AR
• Providers in Clinton, 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 Jun 4, 2018; 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.