MRS. GENEVA NOELLE KENNEDY WHNP NPI 1790233765

NPI Information

NPI: 1790233765
Provider Name: MRS. GENEVA NOELLE KENNEDY, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
7695 CARDINAL CT STE 240
SAN DIEGO, CA
ZIP 92123
Phone: (858) 277-9378
Get Directions

MRS. Geneva Noelle Kennedy, WHNP is a women's health nurse practitioner in San Diego, CA with 8 years of experience. MRS. Geneva Noelle Kennedy, WHNP NPI is 1790233765. 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:

7695 CARDINAL CT STE 240
SAN DIEGO, CA
ZIP 92123-357
Phone: (858) 277-9378
Fax: (858) 277-9370

The NPI 1790233765 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 9/19/2016 and was last updated on 7/21/2022.

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	363LW0102X	Nurse Practitioner	Women's Health	RN2303029	MASSACHUSETTS	No
2	163W00000X	Registered Nurse		RN2303029	MASSACHUSETTS	No
3	163W00000X	Registered Nurse		95102883	CALIFORNIA	No
4	363LW0102X	Nurse Practitioner	Women's Health	NPF95005449	CALIFORNIA	No
5	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP95005449	MASSACHUSETTS	No
6	363LW0102X	Nurse Practitioner	Women's Health	N95005449	CALIFORNIA	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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