Paula Kendrick, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1137792 Issued in KY

Practice address

1700 Cargo CT
Louisville, KY 40299-1938

Phone

(502) 749-6764

NPI assigned

May 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Paula Miller Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Crossroads Treatment Center of Louisville, PSC

  • Methadone Clinic
  • Jeffersontown, KY
  • NPI 1649797507
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1942865241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 LESABRE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161644",
            "telephone_number": "502-640-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CARGO CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991938",
            "telephone_number": "502-749-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "PAULA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1137792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "MILLER",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mumphord Holland-Rudolph Kendall V, PA-C
• Natalie Tinius Kendall, APRN
• Zakary Eugene Kendall, M.A., LPCC
• Kendrick Home Care LLC
• Brittany Nicole Kendrick
• Uneka Shervon Kendrick
• Keith W Kenitzer, D.C.
• Larry Kennard, PT, DPT
• Lydia P Kennebrew
• Angela Kennedy, PHARMD

• Registered Nurse in Louisville, KY
• Providers in Louisville, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.