STEPHANIE NELLENE KENDRICK DO
NPI 1922893486
Student in an Organized Health Care Education/Training Program in Tupelo, MS
About Stephanie Nellene Kendrick Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE NELLENE KENDRICK DO (NPI 1922893486) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2025. The provider is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Nellene Kendrick Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUPELO, MS 38801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stephanie Kendrick's NPI number?
The NPI number for Stephanie Kendrick is 1922893486. It was assigned to this individual provider in the NPPES registry on April 14, 2025.
Where is Stephanie Kendrick located?
Stephanie Kendrick practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-6652.
What is Stephanie Kendrick's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Stephanie Kendrick enrolled in Medicare?
Yes. Stephanie Kendrick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stephanie Kendrick was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stephanie Nellene Kendrick, DO · NPI 1922893486
Student in an Organized Health Care Education/Training Program provider in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1922893486 (Entity type: Individual)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4996
- **Phone:** (662) 377-6652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922893486) · Data from the CMS NPPES public registry.