Michelle M Kennedy, RNC WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

946 Issued in AK

Practice address

222 Tongass Dr
514 Lake Street Suite B
Sitka, AK 99835-9416

Phone

(907) 966-8772

Fax

(907) 966-8708

NPI assigned

Feb 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1104094424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BAHRT CIR",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357237",
            "telephone_number": "907-966-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 TONGASS DR",
            "address_2": "514 LAKE STREET SUITE B",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998359416",
            "telephone_number": "907-966-8772",
            "fax_number": "907-966-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "RNC WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104094424",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda L Kelly, R.N.
• Lauren Kelsey
• Barbara Kendall
• Victoria R Kendall, LCSW, MAC
• Aiden L Kennedy, RN
• Sherry Kennedy, RN
• Kenneth M Cameron DMD PC
• Colette Kerr, R.N.
• Taylor Chaix Kight, RN
• Michael John Kilbane

• Women's Health Nurse Practitioner in Sitka, AK
• Providers in Sitka, AK by specialty
• Women's Health Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.