Individual provider Active NPI

Dodie L Kirkendoll, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1881846509
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3005707 Issued in KY
Practice address
1301 Pleasant Valley Rd Ste 202
Owensboro, KY 42303-9774
Phone
(270) 417-7500
Fax
(270) 417-7509
NPI assigned
Oct 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3005707 KY Primary

Addresses

Primary practice location

1301 Pleasant Valley Rd Ste 202
Owensboro, KY 42303-9774

Mailing address

2315 Mayfair Dr
Suite 9
Owensboro, KY 42301-4557
Phone (270) 478-4410

Other practice location 1

2315 Mayfair Dr
Suite 9
Owensboro, KY 42301-4557
Phone (270) 478-4410

Other practice location 2

2801 Unifirst Dr
Owensboro, KY 42301-7701
Phone (270) 713-0478

Other practice location 3

2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569
Phone (270) 688-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000282 KY Practitioner - Nurse Practitioner 7416019427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2211 Mayfair Dr
Owensboro, KY 42301-4569

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Owensboro Health Muhlenberg Community Hospital Hospital, Greenville, KY, CCN 180004
  • Owensboro Health Twin Lakes Medical Center Hospital, Leitchfield, KY, CCN 180070
  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Perry County Memorial Hospital Hospital, Tell City, IN, CCN 151322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3005707KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Family CurrentSince Oct 20, 2014 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Oct 20, 2014 Accepting new patients

Locations

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2801 Unifirst Dr
Owensboro, KY 42301
Phone (270) 713-0478

1301 Pleasant Valley Rd
Ste 202
Owensboro, KY 42303
Phone (270) 417-7500

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

1030 Burlew Blvd
Ste A
Owensboro, KY 42303
Phone (270) 926-2273

1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066

Interoperability endpoints

  • Direct secure messaging: dkirkendoll12413@direct.owensborohealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1881846509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MAYFAIR DR",
            "address_2": "SUITE 9",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014557",
            "telephone_number": "270-478-4410",
            "fax_number": "270-478-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD STE 202",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7500",
            "fax_number": "270-417-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 Mayfair Dr",
            "address_2": "Suite 9",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014557",
            "country_code": "US",
            "telephone_number": "270-478-4410",
            "fax_number": "270-478-4413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Unifirst Dr",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423017701",
            "country_code": "US",
            "telephone_number": "270-713-0478",
            "fax_number": "270-713-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Mayfair Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423014569",
            "country_code": "US",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKENDOLL",
        "first_name": "DODIE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3005707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.