Jamieson D Kennedy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14326 Issued in CO

Practice address

2020 W Colorado Ave
Ste 203
Colorado Springs, CO 80904

Phone

(719) 473-2368

Fax

(719) 473-4581

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1003829300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE",
            "address_2": "STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-473-2368",
            "fax_number": "719-473-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE",
            "address_2": "STE 203",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80904",
            "telephone_number": "719-473-2368",
            "fax_number": "719-473-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMIESON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "14326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01143262",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn A. Kennedy-Baxter, LMFT
• Alison Kennedy, PSYD.
• Arlette Marie-Claire Kennedy, PT
• Dominic Dwayne Kennedy
• Emily A Kennedy, DDS
• Jessica Kennedy
• Justin Kennedy
• Kaci Kennedy
• Kara Kennedy
• Kathi Kennedy, MA, LPC, NCC

• Family Medicine Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.