Active NPI
Sally Jean Kennedy, NP
- Adult Health Nurse Practitioner
- Tempe, AZ
National Provider Identifier
1043293103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN-39547
- Practice address
- 1898 E Southern Ave
Tempe, AZ 85282-5836 - Phone
- (480) 838-0068
- Fax
- (480) 838-3409
- NPI assigned
- Nov 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN-39547 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | RN-39547 | AZ |
Addresses
Primary practice location
1898 E Southern Ave
Tempe, AZ 85282-5836
Mailing address
2322 S. Rogers
#54
Mesa, AZ 85202-6561
Phone (480) 820-7957
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-39547 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Valley Internists LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Tempe, AZ
- NPI 1346211851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043293103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 S. ROGERS",
"address_2": "#54",
"city": "MESA",
"state": "AZ",
"postal_code": "852026561",
"telephone_number": "480-820-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1898 E SOUTHERN AVE",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825836",
"telephone_number": "480-838-0068",
"fax_number": "480-838-3409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "SALLY",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "RN-39547",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN-39547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.