ANGELA MARIE KENNEDY ARNP NPI 1154967339

NPI Information

  • NPI: 1154967339
  • Provider Name: ANGELA MARIE KENNEDY, ARNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 737 FAWCETT AVE
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 396-5800

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NPI Details

Angela Marie Kennedy, ARNP is a psychiatric/mental health nurse practitioner in Tacoma, WA with 4 years of experience. Angela Marie Kennedy, ARNP NPI is 1154967339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

737 FAWCETT AVE
TACOMA, WA
ZIP 98402-503
Phone: (253) 396-5800

The NPI 1154967339 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 11/21/2019 and was last updated on 10/7/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health33032TENNESSEENo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP61337519WASHINGTONYes

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: 11/21/2025

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