Individual provider Active NPI

Haley Kennedy, APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1073228714
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11656 Issued in CT
Practice address
1229 Albany Ave
Hartford, CT 06112-2132
Phone
(860) 728-0203
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11656 CT Primary

Addresses

Primary practice location

1229 Albany Ave
Hartford, CT 06112-2132

Mailing address

1229 Albany Ave
Hartford, CT 06112-2132
Phone (860) 728-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20230306001843 CT Practitioner - Nurse Practitioner 5092188474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Southern New England IncGroup PAC ID 3173436730, 41 clinicians

Practice addresses (Care Compare)

1229 Albany Ave
Hartford, CT 06112-2132
Phone (860) 728-0203

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 503-0450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England, Inc. CurrentSince Jul 9, 2023 Accepting new patients

Locations

1229 Albany Ave
Hartford, CT 06112
Phone (860) 524-9820

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

35 6th St
Stamford, CT 06905
Phone (203) 325-3055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1073228714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122132",
            "telephone_number": "860-728-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122132",
            "telephone_number": "860-728-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "HALEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.