KENDALL BLUE FNP-C
NPI 1982465472
Nurse Practitioner - Family in Plymouth, MN

Q: What is Kendall Blue's NPI number?

The NPI number for Kendall Blue is 1982465472. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Kendall Blue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Blue was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since January 22, 2024

15725 37TH AVE N STE 1, PLYMOUTH, MN 55446(612) 446-8474 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kendall Blue Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDALL BLUE FNP-C (NPI 1982465472) is an individual family provider in Plymouth, Minnesota, licensed in Minnesota (11206) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1982465472

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENDALL BLUECredential: FNP-C

Location Address15725 37TH AVE N STE 1Plymouth, MN 55446-3206

Mailing Address1206 Mississippi Dr NChamplin, MN 55316-2011 · (763) 732-8369

Phone(612) 446-8474

Sole ProprietorNo

Enumeration DateJanuary 22, 2024

NPPES CertifiedJanuary 22, 2024

✔ NPI 1982465472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 11206

15725 37TH AVE N STE 1, Plymouth, MN 55446

Open in Google Maps ↗

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 Kendall Blue's NPI number?

The NPI number for Kendall Blue is 1982465472. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Kendall Blue located?

Kendall Blue practices at 15725 37th Ave N Ste 1, Plymouth, MN 55446. The listed phone number is (612) 446-8474.

What is Kendall Blue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kendall Blue was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.