Individual provider Active NPI

James L Kendrick Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Grant, AL
National Provider Identifier
1891773388
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1066761 Issued in AL
Practice address
2529 Simpson Point Rd
Grant, AL 35747-8389
Phone
(256) 728-7308
NPI assigned
Jan 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1066761 AL Primary

Addresses

Primary practice location

2529 Simpson Point Rd
Grant, AL 35747-8389

Mailing address

2529 Simpson Point Rd
Grant, AL 35747-8389
Phone (256) 728-7308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000468 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072539212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Anesthesia ServicesGroup PAC ID 3678941424, 12 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1066761ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Anesthesia Services Nurse Anesthetist, Certified Registered CurrentSince Aug 24, 2022 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2007 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Preferred Anesthesia Consultants LLC Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Anesthesia Associates of Dalton Past Accepting new patients
Calhoun Anesthesia P C Past Accepting new patients

Locations

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891773388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 SIMPSON POINT RD",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478389",
            "telephone_number": "256-728-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 SIMPSON POINT RD",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478389",
            "telephone_number": "256-728-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1066761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grant, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.