Amanda Lauren Kennedy, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.021254 Issued in OH

Practice address

11690 Grooms Rd
Blue Ash, OH 45242-1412

Phone

(513) 917-9697

NPI assigned

Aug 4, 2017

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

Other names 1

• Amanda Peterson-Bledsoe Former name

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ny Long-Term Care Physician Services, PCGroup PAC ID 3173925070, 4 clinicians

Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Queen City Skilled Care LLC Home health agency, Cincinnati, OH, CCN 369173
• Supportive Home Health Home health agency, Cincinnati, OH, CCN 368079
• Amedisys Home Health of Kentucky Home health agency, Crestview Hills, KY, CCN 187179
• Summit Orthopaedic Home Care Home health agency, Blue Ash, OH, CCN 369119
• Suncrest Hospice Hospice, West Chester, OH, CCN 361721
• Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
• Bethesda North Hospital, Cincinnati, OH, CCN 360179

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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 and National Provider Directory roles.

• Hansa Medical Groupe PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1386804615

  KY, OH

  Medicare reassignment Care Compare group NPD
• Ny Long-Term Care Physician Services, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniondale, NY
  • NPI 1477121549

  KY, OH

  Medicare reassignment Care Compare group NPD
• Hansamssp LLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1013700541

  KY, OH

  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment
• Psychiatric Management Services

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1942677281

  OH

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affordable Home Health Care, LLC

  • Home Health Agency
  • Blue Ash, OH
  • NPI 1588029284
  Care Compare affiliation
• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  Care Compare affiliation
• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• Hospice of Cincinnati Incorporated

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1598740011
  Care Compare affiliation
• Queen City Skilled Care, LLC

  • Home Health Agency
  • Cincinnati, OH
  • NPI 1629522206
  Care Compare affiliation
• Suncrest Hospice Cincinnati LLC

  • Community Based Hospice Care Agency
  • West Chester, OH
  • NPI 1902563679
  Care Compare affiliation
• Superior Care Plus, LLC

  • Home Health Agency
  • Girard, OH
  • NPI 1336128610
  Care Compare affiliation
• Amedisys SP-Oh, L.L.C.

  • Home Health Agency
  • Crestview Hills, KY
  • NPI 1215940093
  Care Compare affiliation

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1063937696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 NORTHRIDGE DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031385",
            "telephone_number": "513-917-9697",
            "fax_number": "513-901-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11690 GROOMS RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421412",
            "telephone_number": "513-917-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 Banning Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452396608",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12745 Elm Corner Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "OH",
            "postal_code": "451769621",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3434 OH-132",
            "address_purpose": "LOCATION",
            "city": "Amelia",
            "state": "OH",
            "postal_code": "45102",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Monroe Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OH",
            "postal_code": "450361409",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 McGee Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450444991",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456012301",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453851848",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4960 Old U.S. 35",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "OH",
            "postal_code": "45335",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 McEwen Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454593903",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Lauricella Ct",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "45322",
            "country_code": "US",
            "telephone_number": "513-917-9697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.021254",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.391672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PETERSON-BLEDSOE",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Grover Counseling LLC
• David Charles Kelly Jr.
• Lisa Diane Kelly, M.D.
• Cecilia Kendrick, DMD
• Kennedy Heights Counseling Services LLC
• Eboni Kennedy, RN
• Gracelyn Rose Kephart, CT
• Tyler Travis Kerr, OD
• Christopher James Kersting, FNP-C
• Angela Marie Keryeski, RPH

• Acute Care Nurse Practitioner in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Acute Care Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.