Individual provider Active NPI

Katherine Marie Holbrook Kennedy, CPNP-AC

  • Pediatric Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1013626530
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.0027336 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-6200
Fax
(614) 722-5176
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0027336 OH
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.0027336 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-6200

Other practice location 1

882 S Hamilton Rd
Columbus, OH 43213-3003
Phone (614) 722-2000

Other practice location 2

1657 Georgesville Square Dr
Columbus, OH 43228-3689
Phone (614) 722-2000

Other practice location 3

1390 Cleveland Ave
Columbus, OH 43211-2767
Phone (614) 722-2000

Other practice location 4

4560 Morse Centre Rd
Columbus, OH 43229-6602
Phone (614) 722-2000

Other practice location 5

2857 W Broad St
Columbus, OH 43204-2643
Phone (614) 722-2000

Other practice location 6

1405 S High St
Columbus, OH 43207-1043
Phone (614) 722-2000

Other practice location 7

3553 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 722-2000

Other practice location 8

5070 N High St
Columbus, OH 43214-1526
Phone (614) 722-2000

Other practice location 9

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-2000

Other practice location 10

1649 Georgesville Square Dr
Columbus, OH 43228-3689
Phone (614) 722-2000

Other practice location 11

579 S Yearling Rd
Columbus, OH 43213-2874
Phone (614) 722-2000

Other practice location 12

4766 W Broad St
Columbus, OH 43228-1613
Phone (614) 722-2000

Other practice location 13

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000

Other practice location 14

1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-2000

Other practice location 15

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-2000

Other practice location 16

1125 E Main St
Columbus, OH 43205-1931
Phone (614) 722-2000

Other practice location 17

2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-2000

Other practice location 18

441 Industrial Mile Rd
Columbus, OH 43228-2458
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
0008830MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250519002032 OH Practitioner - Nurse Practitioner 4082132584 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0027336OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital Pediatrics CurrentSince May 5, 2025 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince May 5, 2025 Accepting new patients
Nationwide Children'S Hospital CurrentSince May 5, 2025 Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3553 Cleveland Ave
Columbus, OH 43224
Phone 6147222000 ext. 2620

5070 N High St
Columbus, OH 43214
Phone (614) 355-9500

1125 E Main St
Columbus, OH 43205
Phone (614) 355-9200

1390 Cleveland Ave
Columbus, OH 43211
Phone (614) 355-9306

Dept L289
Columbus, OH 43260

441 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 355-9700

4766 W Broad St
Columbus, OH 43228
Phone (614) 851-7337

1657 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 355-9702

4560 Morse Centre Rd
Columbus, OH 43229
Phone (614) 355-9400

2857 W Broad St
Columbus, OH 43204
Phone (614) 355-9900

1405 S High St
Columbus, OH 43207
Phone (614) 293-3330

1777 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 355-9700

380 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 355-0569

2599 S Hamilton Rd
Columbus, OH 43232
Phone (614) 355-9600

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

882 S Hamilton Rd
Whitehall, OH 43213
Phone (614) 235-5555

579 S Yearling Rd
Whitehall, OH 43213
Phone (614) 355-9800

Organizations & group practices 3

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": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1013626530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200",
            "fax_number": "614-355-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "882 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133003",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1657 Georgesville Square Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
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            "postal_code": "432283689",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432112767",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Morse Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432296602",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2857 W Broad St",
            "address_purpose": "LOCATION",
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            "state": "OH",
            "postal_code": "432042643",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071043",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3553 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432242909",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5070 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141526",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1649 Georgesville Square Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432283689",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "579 S Yearling Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132874",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4766 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281613",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293502",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051931",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2599 S Hamilton Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432324964",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Industrial Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432282458",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "middle_name": "MARIE HOLBROOK",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0027336",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.0027336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.