TRACI KENNEDY NP NPI 1306206990

NPI Information

  • NPI: 1306206990
  • Provider Name: TRACI KENNEDY, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 171 ASHLEY AVE
    CHARLESTON, SC
    ZIP 29425
  • Phone: (843) 792-1414

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NPI Details

Traci Kennedy, NP is a nurse practitioner in Charleston, SC with 10 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Traci Kennedy, NP NPI is 1306206990. 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:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-208
Phone: (843) 792-1414

The NPI 1306206990 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 2/25/2016 and was last updated on 10/31/2023.

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
1163WE0003XRegistered NurseEmergency28091733AINDIANANo
2363L00000XNurse Practitioner71006563AINDIANANo
3363L00000XNurse Practitioner21498SOUTH CAROLINAYes

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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