Lisa Michelle Kennedy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1025400 Issued in TX

Practice address

108 Wranosky Rd
Woodsboro, TX 78393

Phone

(361) 543-7018

NPI assigned

May 5, 2021

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attigo Infusion IncGroup PAC ID 5597190645, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 33)

Interoperability endpoints

• Direct secure messaging: lisa.kennedy@415054778073092.direct.elationemr.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.

• Attigo Infusion Inc

  dba Medix Infusion

  • Infectious Disease Physician
  • Addison, TX
  • NPI 1891339644
  Medicare reassignment Care Compare group NPD
• William G Curtis, MD PA

  dba Future Focus Family Medicine & Medical Spa

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1316160849
  Medicare reassignment NPD
• Americare Medical Partners, PLLC

  • Infectious Disease Physician
  • Lewisville, TX
  • NPI 1346651072
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1114500279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1151",
            "city": "WOODSBORO",
            "state": "TX",
            "postal_code": "783931151",
            "telephone_number": "361-543-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WRANOSKY RD",
            "city": "WOODSBORO",
            "state": "TX",
            "postal_code": "78393",
            "telephone_number": "361-543-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1025400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Lynn Levien, RN
• Refugio County Memorial Hospital District (Woodsboro Medical Clinic)
• John Emerson Wineman, PA-C
• Woodsboro I.S.D.

• Family Nurse Practitioner in Woodsboro, TX
• Providers in Woodsboro, 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 May 18, 2021; 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.