Individual provider Active NPI

Kelly Lynn Kennedy, NP

  • Family Nurse Practitioner
  • Natick, MA
National Provider Identifier
1003248204
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2269814 Issued in MA
Practice address
137 W Central St
Natick, MA 01760-4310
Phone
(508) 655-2109
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2269814 MA Primary

Addresses

Primary practice location

137 W Central St
Natick, MA 01760-4310

Mailing address

199 Winthrop Rd
Apt 33
Brookline, MA 02445-4485
Phone (518) 929-9218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140110001167 MA Practitioner - Nurse Practitioner 2961630306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
President & Fellows of Harvard College CurrentSince Nov 8, 2016 Accepting new patients
Atrius Health, Inc. CurrentSince Nov 15, 2019 Accepting new patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Aug 19, 2013 Accepting new patients
President and Fellows of Harvard College CurrentSince Nov 8, 2016 Accepting new patients
Atrius Health, Inc. CurrentSince Nov 15, 2019 Accepting new patients
Atrius Health, Inc. Current Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

137 W Central St
Natick, MA 01760
Phone (508) 655-2109

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

Interoperability endpoints

  • Direct secure messaging: kkennedynp303963@direct.atrius.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1003248204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 WINTHROP RD",
            "address_2": "APT 33",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454485",
            "telephone_number": "518-929-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017604310",
            "telephone_number": "508-655-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2269814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.