Active NPI
Kendrah Ford
- Administrator Registered Nurse
- Atlanta, GA
National Provider Identifier
1881361707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN197189
- Practice address
- 302 Perimeter Ctr N Apt 2031
Atlanta, GA 30346-2489 - Phone
- (470) 572-8206
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN197189 | GA | Primary |
Addresses
Primary practice location
302 Perimeter Ctr N Apt 2031
Atlanta, GA 30346-2489
Mailing address
302 Perimeter Ctr N Apt 2031
Atlanta, GA 30346-2489
Phone (470) 572-8206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN197189 | GA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1881361707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 PERIMETER CTR N APT 2031",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303462489",
"telephone_number": "470-572-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 PERIMETER CTR N APT 2031",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303462489",
"telephone_number": "470-572-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KENDRAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "RN197189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.