Active NPI
Rachel Kennedy, NP
- Family Nurse Practitioner
- St George, UT
National Provider Identifier
1144797523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 72929964405
- Practice address
- 2891 E Mall Drive, Ste 101
St. George, UT 84790-8479 - Phone
- (435) 656-2424
- Fax
- (435) 656-2828
- NPI assigned
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 72929964405 | UT | Primary |
Addresses
Primary practice location
2891 E Mall Drive, Ste 101
St. George, UT 84790-8479
Mailing address
PO Box 912042
St George, UT 84791-2042
Phone (435) 656-2424
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
652 S Medical Ctr Dr
Suite 110
St George, UT 84790-7077
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.97 of 100
- Quality
- 68.31
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72929964405 | UT | MD | Family Nurse Practitioner |
Interoperability endpoints
- rachel.kennedy@ssapcsl-ut.direct.office.nextgen.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St. George Regional Hospital
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1144797523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 912042",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847912042",
"telephone_number": "435-656-2424",
"fax_number": "435-656-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2891 E MALL DRIVE, STE 101",
"city": "ST. GEORGE",
"state": "UT",
"postal_code": "847908479",
"telephone_number": "435-656-2424",
"fax_number": "435-656-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "RACHEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2022-02-24",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "72929964405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.