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

Kendra Lawrence, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1114450418

Kendra Lawrence, NURSEPRACTITIONER is a Nurse Practitioner in Fort Walton Beach, Florida. Qualified in 2016, 10 years ago. Accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
10
Licensed in
FL, TX
In the registry since
2017
Specialties on file
7

Practice location Address checks out

1992 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1255
Phone: (888) 732-3452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11002506 (FL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP133602 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP133602 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP133602 (TX)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 11002506 (FL)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 11002506 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11002506 (FL)

Record details

NPI number1114450418
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address495 Grand Blvd Ste 206, Miramar Beach, FL 32550-1897

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Walton Beach