TERESA D KENDRICK (NPI# 1437406485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437406485 |
| Entity Type | Individual |
| Full Name | TERESA D KENDRICK |
| Credential | NP |
| Practice Address |
611 Alcorn Dr Corinth MS 38834-9321 |
| Mailing Address |
401 Alcorn Dr Ste 2c Corinth MS 38834-9073 |
| Practice Telephone | 6622935530 |
| Practice Fax Number | 6622934329 |
| Mailing Telephone | 6622937618 |
| Mailing Fax Number | 6622934358 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R803535 | MS | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
803535 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00600734 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Hospital St, Booneville, MS 388293354 | 6623723495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841446341 | Teresa L. Kendrick | Audiologist | 5454 Wisconsin Ave Ste 1535, Chevy Chase, MD 20815-6936 | 2008-08-15 |
| Street Address |
611 ALCORN DR |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
| 1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
| 1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013664 | Hollie Dulaney Moffatt | Nurse Practitioner | 2664 S Harper Rd, Corinth, MS 38834-6723 | 2020-08-14 |
| 1083833917 | Tabitha Perrigo | Nurse Practitioner | 601 Foote St, Corinth, MS 38834-4834 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.