Karisa Jo Kennedy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

202084 Issued in OK

Practice address

1215 NW 25TH St
Oklahoma City, OK 73106-5629

Phone

(405) 525-2525

NPI assigned

Jul 9, 2010

Last updated

Apr 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 OK

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mdwatch Medical CorpGroup PAC ID 3870992670, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karisa.kennedy@217526021193732.direct.elationemr.com

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.

• Mdwatch Medical Corp.

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1548842370

  OK

  Medicare reassignment Care Compare group NPD
• Wynnewood Wellness Clinic

  • Rural Health Clinic/Center
  • Wynnewood, OK
  • NPI 1265149140
  NPD Authorized official
• Mdwatch Ca, PC

  dba MDWatch

  • General Practice Physician
  • San Diego, CA
  • NPI 1275145138
  NPD (past)
• Mochi Medical Ca PC

  dba Mochi Medical West

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)
• Northwest Iowa Hospital Corporation

  dba St. Luke's Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  NPD (past)
• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • Psychiatric Hospital Unit
  • Sioux City, IA
  • NPI 1376637512
  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1053623728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 SW 82ND CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731595943",
            "telephone_number": "405-473-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 NW 25TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065629",
            "telephone_number": "405-525-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KARISA",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202084",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "09209205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kennedy
• Diana L. Kennedy, M.D.
• Douglas Kennedy
• Jennifer Rose Kennedy, RBT
• Jessica Lee Kennedy, LMSW
• Kathleen Anne Kennedy, MSCP
• Kimberly Kennedy, APRN-CNP
• Lauren Kennedy, MD
• Lauren Marie Kennedy, OTR/L
• Lisa I Kennerson

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.