Active NPI
Rebecca Marie Kennedy, MSW
- Social Worker
- Columbia, TN
National Provider Identifier
1104007954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 902 S High St
Columbia, TN 38401-3204 - Phone
- (931) 490-6510
- NPI assigned
- Nov 21, 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
902 S High St
Columbia, TN 38401-3204
Mailing address
902 S High St
Columbia, TN 38401-3204
Phone (931) 490-6510
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315353600000",
"number": "1104007954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 S HIGH ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013204",
"telephone_number": "931-490-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 S HIGH ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013204",
"telephone_number": "931-490-6510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "REBECCA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2011-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.