Active NPI
Holly Kenyon, DNP, FNP-C
- Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1104571025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61253053
- Practice address
- 6625 Lakeview Dr Apt 101
Kirkland, WA 98033-6940 - Phone
- (253) 569-1969
- NPI assigned
- Feb 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61253053 | WA | Primary |
Addresses
Primary practice location
6625 Lakeview Dr Apt 101
Kirkland, WA 98033-6940
Mailing address
6625 Lakeview Dr Apt 101
Kirkland, WA 98033-6940
Phone (253) 569-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61253053 | WA | MD | Nurse Practitioner |
Interoperability endpoints
- ms_hhardin3@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1104571025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6625 LAKEVIEW DR APT 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336940",
"telephone_number": "253-569-1969",
"fax_number": "425-963-7519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 LAKEVIEW DR APT 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980336940",
"telephone_number": "253-569-1969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENYON",
"first_name": "HOLLY",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61253053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.