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Kenderricka Pruitt

Physician β€’ Quincy, FL

Active NPI 1326777244 Individual Practitioner Female Practitioner
Practice location in NPPES

523 Lincoln St
Quincy, FL 323513623

Call 8505188080 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

523 Lincoln St

Quincy, FL 323513623

Telephone 8505188080
Organization at the Same NPPES Address or Phone
Derricks Place Facility NPI 1144139593

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-09-03
Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 03, 2026

Registered at 523 LINCOLN ST, QUINCY, FL 323513623 (Tel: 8505188080)

πŸ“
Updated Business Mailing Address September 03, 2026

Registered at 523 LINCOLN ST, QUINCY, FL 323513623 (Tel: 8505188080)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2022

Home Health

βœ…
NPI Profile Active June 07, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 07, 2022

Registered at 135 WHITE DR APT M3, TALLAHASSEE, FL 323043062 (Tel: 8505700460)

πŸ“
Business Mailing Address (Initial Record) June 07, 2022

Registered at 135 WHITE DR APT M3, TALLAHASSEE, FL 323043062

πŸ‘€
Provider Name / Credentials (Initial Record) June 07, 2022

Recorded as KENDERRICKA PRUITT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2022

Home Health Aide

🟒
Initial NPI Registration & Enumeration June 07, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1326777244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2022
Last Update: September 03, 2026
Sole Proprietor: Yes

Mailing Address

523 Lincoln St

Quincy, FL 323513623

Phone: 8505188080

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.