Active NPI
Tina Angela Kenney, BC-HIS
- Hearing Instrument Specialist
- Louisville, KY
National Provider Identifier
1063540219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 101271
- Practice address
- 2944 Breckenridge LN
Louisville, KY 40220-1409 - Phone
- (502) 893-0159
- Fax
- (502) 213-3853
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 17001508A | IN | |
| Hearing Instrument Specialist | 237700000X | 101271 | KY | Primary |
Addresses
Primary practice location
2944 Breckenridge LN
Louisville, KY 40220-1409
Mailing address
103 Glendale Dr
Charlestown, IN 47111-1708
Phone (502) 386-9144
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17001508A | IN | MD | Hearing Instrument Specialist |
| 101271 | KY | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1063540219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 GLENDALE DR",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471111708",
"telephone_number": "502-386-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 BRECKENRIDGE LN",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201409",
"telephone_number": "502-893-0159",
"fax_number": "502-213-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "TINA",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "BC-HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IN",
"license": "17001508A",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "KY",
"license": "101271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.