Lynnette Hansen Kennison, PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP1117892 Issued in FL

Practice address

9889 Gate Pkwy N Ste 305
Jacksonville, FL 32246-9230

Phone

(904) 725-6463

Fax

(904) 329-2349

NPI assigned

Jul 17, 2007

Last updated

Oct 19, 2023By 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 1

Addresses

Other names 1

• Lynnette Hansen Former name

Medicare fee-for-service enrollment

Enrolled in FL

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Artistic Psychiatric Associates LLCGroup PAC ID 6608114335, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Artistic Psychiatric Associates LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1407320690
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1053510149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469230",
            "telephone_number": "904-725-6463",
            "fax_number": "904-329-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 GATE PKWY N STE 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469230",
            "telephone_number": "904-725-6463",
            "fax_number": "904-329-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNISON",
        "first_name": "LYNNETTE",
        "middle_name": "HANSEN",
        "name_prefix": "Dr.",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1117892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNETTE",
            "last_name": "HANSEN",
            "credential": "PMHCNS-BC, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Rebecca Kennerly
• Kenneth W Jones M D P a
• Heidi Neal Kenney, MD
• Shaunagay Renay Kenney, PMHNP
• Shawn Edward Kenney, DMSC, PA-C
• Ann Kenny-Santoro, LCSW
• Caryn Beth Kenny, LCSW
• Joseph T Kenny, DPT
• Kenoir Solutions Inc
• Lorrie M Kenseth, NP

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.