Clarina Kennedy, R.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1643 41St Ave
San Francisco, CA 94122-3037

Phone

(415) 279-8179

NPI assigned

Oct 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bay Area Diabetes and Wellness Center LLC

  • Metabolic Nutrition Registered Dietitian
  • Oakland, CA
  • NPI 1215242318

  Nutrition, Metabolic

  NPD

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1023489291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223037",
            "telephone_number": "415-279-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223037",
            "telephone_number": "415-279-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CLARINA",
        "name_prefix": "Mrs.",
        "credential": "R.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennect Psychotherapy PC Dba the Good Therapist
• Kennect Psychotherapy PC Dba the Good Therapist
• Abbey Lynn Kennedy, M.D.
• Adrienne Mai-Anh Kennedy, MD
• Angelique Leimelekule Kennedy
• Holly Powell Kennedy, CNM
• Kathleen Grace Kennedy, O.D.
• Kristin Kennedy, MSW
• Martha Nolte Kennedy, M.D.
• Mary L. Kennedy, LCSW

• Registered Dietitian in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.