Amanda Kendrick, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704304706 Issued in MI

Practice address

2095 E Big Beaver Rd Ste 375
Troy, MI 48083-2374

Phone

(248) 963-1124

Fax

(248) 250-9263

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.kendrick.1@23439.direct.athenahealth.com
• Direct secure messaging: akendrick419480@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/23439/brand/1/csg/1/fhir/r4

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.

• Bernardo a Rojas II MD PLLC

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1437568953
  Medicare reassignment NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1992379440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 E BIG BEAVER RD STE 375",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832374",
            "telephone_number": "248-963-1124",
            "fax_number": "248-250-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 E BIG BEAVER RD STE 375",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832374",
            "telephone_number": "248-963-1124",
            "fax_number": "248-250-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Rose Kelly, TLLP
• Timothy Michael Kelly, DPT
• Aalicia Kemp
• Charlene Kemp
• Zeinab Kenaan, PA
• Kristin Michelle Kennaugh, RN, BSN
• Jessica Frances Kennedy, FNP
• Kaitlyn Elisabeth Kennedy, PT, DPT
• Kenneth W. Shaheen, M.D.,P.C.
• David M Kent, D.O.

• Family Nurse Practitioner in Troy, MI
• Providers in Troy, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.