Active NPI
Kendale Sturdivent, APRN
- Family Nurse Practitioner
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11030081
- Practice address
- 10494 Northcliffe Blvd
Spring Hill, FL 34608-3656 - Phone
- (352) 686-3991
- NPI assigned
- Dec 8, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11030081 | FL | Primary |
Addresses
Primary practice location
10494 Northcliffe Blvd
Spring Hill, FL 34608-3656
Mailing address
5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 Skillman St
Suite 204
Brooklyn, NY 11205-4812
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | Accepting new patients | |
| Vitalpoint Healthpc | Current | Accepting new patients | |
| Access Health Care Physicians LLC | Current | Accepting new patients |
Locations
634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201
13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242
5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116
10494 Northcliffe Blvd
Spring Hill, FL 34608
Phone (352) 686-3991
43 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-3100
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NJ
-
- Internal Medicine Physician
- Hammonton, NJ
- NPI 1205719820
-
- General Practice Physician
- Spring Hill, FL
- NPI 1245529742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1972370971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346063833",
"telephone_number": "352-277-5348",
"fax_number": "352-606-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10494 NORTHCLIFFE BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346083656",
"telephone_number": "352-686-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STURDIVENT",
"first_name": "KENDALE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-08",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11030081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.