Active NPI
Susan Rein Kennedy, RN
- Psychiatric/Mental Health Registered Nurse
- Pontiac, MI
National Provider Identifier
1023046489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 4704085991
- Practice address
- 35 W Huron St
Pontiac, MI 48342-2120 - Phone
- (248) 745-4900
- Fax
- (248) 745-6872
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 4704085991 | MI | Primary |
Addresses
Primary practice location
35 W Huron St
Pontiac, MI 48342-2120
Mailing address
35 W Huron St
Pontiac, MI 48342-2120
Phone (248) 745-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Mercy Hospital Crna Group | Past | Accepting new patients | |
| CNS Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Novi, MI
- NPI 1770538068
-
- Certified Registered Nurse Anesthetist
- Pontiac, MI
- NPI 1568493047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023046489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W HURON ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422120",
"telephone_number": "248-745-4900",
"fax_number": "248-745-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 W HURON ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422120",
"telephone_number": "248-745-4900",
"fax_number": "248-745-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "SUSAN",
"middle_name": "REIN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MI",
"license": "4704085991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.