Individual provider Active NPI

Kierra Kendrick, AGNP-C

  • Adult Health Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1912510819
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11008442 Issued in FL
Practice address
5130 Sunforest Dr
Tampa, FL 33634-6318
Phone
(657) 237-2450
NPI assigned
Aug 28, 2020
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 13779 CT
Adult Health Nurse Practitioner 363LA2200X AC006760 MD
Adult Health Nurse Practitioner 363LA2200X 3-001847 AL
Adult Health Nurse Practitioner 363LA2200X GAA-NP002699 GA
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0037790 OH
Adult Health Nurse Practitioner 363LA2200X 4704418017 MI
Adult Health Nurse Practitioner 363LA2200X 16099-33 WI
Adult Health Nurse Practitioner 363LA2200X 5022342 NC
Adult Health Nurse Practitioner 363LA2200X APRN11008442 FL Primary
Adult Health Nurse Practitioner 363LA2200X 29145 SC

Addresses

Primary practice location

5130 Sunforest Dr
Tampa, FL 33634-6318

Mailing address

2350 Phillips Rd Apt 9110
Tallahassee, FL 32308-5399
Phone (478) 396-3748

Other practice location 1

2350 Phillips Rd Apt 9110
Tallahassee, FL 32308-5399
Phone (478) 396-3748

Other practice location 2

8875 Hidden River Pkwy
Tampa, FL 33637-1035
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230602001161 FL Practitioner - Nurse Practitioner 9931566130 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008442FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 2, 2025 Accepting new patients
Rmed LLC CurrentSince May 1, 2025 Accepting new patients
Rmed LLC CurrentSince May 1, 2025 Accepting new patients

Locations

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • Direct secure messaging: kkendrick@landmarkhealth-direct.org
  • Direct secure messaging: ms_kkendri9@landmarkhealth-direct.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, 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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1912510819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 PHILLIPS RD APT 9110",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085399",
            "telephone_number": "478-396-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 SUNFOREST DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336346318",
            "telephone_number": "657-237-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Phillips Rd Apt 9110",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085399",
            "country_code": "US",
            "telephone_number": "478-396-3748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8875 Hidden River Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336371035",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "KIERRA",
        "name_prefix": "Miss",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "13779",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC006760",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "3-001847",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "GAA-NP002699",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0037790",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704418017",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "16099-33",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5022342",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11008442",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "29145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.