Alixandra Kennedy

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28057 Issued in SC

Practice address

131 Commonwealth Dr Ste 310B
Greenville, SC 29615-4899

Phone

(248) 212-9448

NPI assigned

Dec 10, 2021

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akennedy2545982@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Francis Physician Services Inc

  dba Bon Secours Covenant Primary Care

  • Internal Medicine Physician
  • Greenville, SC
  • NPI 1871895771
  Medicare reassignment Care Compare group NPD
• St Francis Physician Services Inc

  dba Reedy Family Medicine

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1093013559
  NPD (past)
• St Francis Physician Services Inc

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295769438
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1053070680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GLOUCESTER FERRY RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073567",
            "telephone_number": "248-212-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR STE 310B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154899",
            "telephone_number": "248-212-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Commonwealth Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156940",
            "country_code": "US",
            "telephone_number": "864-365-0200",
            "fax_number": "877-893-3772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ALIXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28057",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "235016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas William Kendall Sr., M.D.
• William C Kendrick Jr., M.D.
• Lindsay Kendris
• Courtney Amanda Kenna, MS LAPC
• William Burris Kenna III, DMD
• Bonnie Sue Kennedy, MD
• Brandy Kay Kennedy, ND
• Ellen Kennedy
• Kelly Zornig Kennedy, MSN, FNP-BC
• Marilyn Kennedy, MA-COUNSELING

• Family Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.