Kendal Wells Holbrook, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

30543 Issued in TN

Practice address

150 W Price Rd
Dandridge, TN 37725-4524

Phone

(865) 475-6161

Fax

(865) 475-9857

NPI assigned

Nov 1, 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

Other names 1

• Kendal Lynn Wells Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Knoxville, TN, CCN 447312
• Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Healthstar Physicians, P.C.

  • Family Medicine Physician
  • Morristown, TN
  • NPI 1184610248
  Medicare reassignment Care Compare group NPD
• Healthstar Physicians PC

  • Pain Medicine (Anesthesiology) Physician
  • Morristown, TN
  • NPI 1841187648
  NPD
• East Tennessee Primary Care Associates

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1134271745
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1710935408
  Care Compare affiliation
• Jefferson County Hma LLC

  • General Acute Care Hospital
  • Jefferson City, TN
  • NPI 1972585347
  Care Compare affiliation

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1992460448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161",
            "fax_number": "865-475-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161",
            "fax_number": "865-475-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "KENDAL",
        "middle_name": "WELLS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "30543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kendal.holbrook.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "150 W Price Rd",
            "city": "Dandridge",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377254524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENDAL",
            "last_name": "WELLS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healthstar Physicians PC
• Healthstar Physicians, PC
• Rebecca Henry, LCSW
• Lisa Darlene Hill, MS, CCC-SLP
• Gary Lynn Hixson Jr., CPHT
• Marilyn Diane Holloway, R.N.
• Sarah Hoose
• Raquel Phillips Hubbard, RN
• David Lucas James
• Jeffco Drugcenter in Dandridge, Inc.

• Family Nurse Practitioner in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.