Kennedy Garrett

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA64125 Issued in CA

Practice address

1641 Creekside Dr Ste 201
Folsom, CA 95630-3831

Phone

(916) 983-3069

NPI assigned

Oct 27, 2023

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 CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: kgarrett119559@hpmg.direct-ci.net

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.

• Joanna H Nguyen MD Inc

  • Family Medicine Physician
  • Folsom, CA
  • NPI 1558516070
  Medicare reassignment

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1083486435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 ROARING CAMP DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 CREEKSIDE DR STE 201",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303831",
            "telephone_number": "916-983-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "KENNEDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA64125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaaron Garey, MFT
• Garfield Beach CVS LLC
• George Garfinkel, RPH
• Shikha Garg, M.D.
• Brian Paul Garrett, M.D., O.D.
• Cynthia A Garten, MA CCC SLP
• Lana Garvin, LMFT #93813
• Devon L Gaston, D.C., M.SC.
• Gastroenterology Medical Clinic
• Nicole Angel Gates

• Medical Physician Assistant in Folsom, CA
• Providers in Folsom, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.