Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kendra Dawn McDaniel, APRN-FNP

Individual provider Registered Nurse · NPI 1689259301

Kendra Dawn McDaniel, APRN-FNP is a Nurse Practitioner in Georgetown, Ohio. Graduated from Ohio Medical University in 2020, 6 years ago. Practices with Boulder Care Provider Group PA, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Ohio.

Years since qualifying
6
Trained at
Ohio Medical University
Licensed in
KY, OH
In the registry since
2021
Specialties on file
5
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Practice location Address checks out

421 Home St
Georgetown, OH 45121-1407
Phone: (833) 510-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0028394 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 1176825 (KY)
Registered Nurse Taxonomy 163W00000X · Licence RN.427666 (OH)
Licensed Practical Nurse Taxonomy 164W00000X · Licence LPN.143110.MEDS-IV (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence 3017601 (KY)

Record details

NPI number1689259301
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP
Sole proprietorNo
NPI enumeratedMarch 15, 2021
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Boulder Care Provider Group Pa — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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