Jessica Kenning, MAT, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

6317 Issued in FL

Practice address

2667 Bruton Blvd
Orlando, FL 32805-5753

Phone

(407) 206-8717

NPI assigned

Apr 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica Harris Kenning Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1063031854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2667 BRUTON BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055753",
            "telephone_number": "407-206-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 BRUTON BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328055753",
            "telephone_number": "407-206-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNING",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MAT, LAT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-11",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "6317",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARRIS KENNING",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tracey Kennedy, OTR/L
• Yolanda Kennedy, M.A.
• Kenneth T. Mack, P.a.
• David Michael Kenney Sr.
• Kristiana Kenney
• Holly Kennon
• Kenny Chantasi DO PLLC
• Katlynn Danielle Kenon, MD
• Kent Clinic, LLC
• Jennifer Elizabeth Kent-Walsh, PH.D., CCC-SLP

• Athletic Trainer in Orlando, FL
• Providers in Orlando, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; 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.