Kerry Kennedy, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127790 Issued in TX

Practice address

6341 Campus Circle Dr E Ste 150
Irving, TX 75063-2712

Phone

(817) 887-0017

NPI assigned

Apr 7, 2015

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkennedy366164@memorialhermann.direct-ci.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.

• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  Medicare reassignment Care Compare group NPD
• Seasons Medical Group of Texas, PLLC

  dba AccentCare Medical Group of Texas

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Irving, TX
  • NPI 1275931545
  Medicare reassignment NPD
• Seasons Hospice & Palliative Care of Texas, Inc

  dba AccentCare Hospice & Palliative Care of Texas -Dallas

  • Community Based Hospice Care Agency
  • Dallas, TX
  • NPI 1144395195
  NPD (past)

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

• Memorial Hermann Health System

  dba Memorial Hermann Katy Hospital

  • General Acute Care Hospital
  • Katy, TX
  • NPI 1932152337
  Care Compare affiliation

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1073909933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17855 DALLAS PKWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 CAMPUS CIRCLE DR E STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632712",
            "telephone_number": "817-887-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KERRY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasi Lee Kendl, D.P.T.
• Haman Cedric Kengne Wankam, PHARM D
• Alexander Kennedy, M.D.
• Courtney Kennedy, RBT
• Enos Mulbah Kennedy
• Margaret Alexandra Kennedy, PA-C
• Waymona Rene' Kennedy, LMT, MTI
• Kennedys Transportation LLC
• Adrian R.F.F. Kerans, M.D.
• Ted Kern, P.T.

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.