TERESA MARIE KENNEDY CRNP NPI 1669865234

NPI Information

NPI: 1669865234
Provider Name: TERESA MARIE KENNEDY, CRNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
201 SIVLEY RD SW
SUITE 30
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 265-6566
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Teresa Marie Kennedy, CRNP is a gerontology nurse practitioner in Huntsville, AL with 10 years of experience. Teresa Marie Kennedy, CRNP NPI is 1669865234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

201 SIVLEY RD SW
SUITE 30
HUNTSVILLE, AL
ZIP 35801-134
Phone: (256) 265-6566

The NPI 1669865234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2015 and was last updated on 8/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	1-054824	ALABAMA	No
2	363LG0600X	Nurse Practitioner	Gerontology	1-054824	ALABAMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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