Kennedy Laville Thoren, DNP, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G159113 Issued in IA

Practice address

1089 Jordan Creek Pkwy Ste 200
West Des Moines, IA 50266-5830

Phone

(515) 531-8013

Fax

(833) 983-2836

NPI assigned

Jul 18, 2019

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Story County Hospital

  • Family Medicine Physician
  • Nevada, IA
  • NPI 1023080504

  IA

  Medicare reassignment Care Compare group NPD
• Story County Hospital

  • Critical Access Hospital
  • Nevada, IA
  • NPI 1215054713

  IA

  Medicare reassignment Care Compare group NPD
• Story County Hospital

  • Rural Health Clinic/Center
  • Maxwell, IA
  • NPI 1316471162
  Care Compare group
• Story County Hospital

  • Rural Health Clinic/Center
  • Nevada, IA
  • NPI 1508390352
  Care Compare group
• Story County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Nevada, IA
  • NPI 1922335322
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Story County Hospital

  • Critical Access Hospital
  • Nevada, IA
  • NPI 1215054713

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Story County Hospital 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Story County Hospital Hospital, Nevada, IA, CCN 161333

Medicare fee-for-service enrollment

Enrolled in IA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kthoren@landmarkhealth-direct.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2022.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1144873282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181",
            "fax_number": "515-309-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 JORDAN CREEK PKWY STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665830",
            "telephone_number": "515-531-8013",
            "fax_number": "833-983-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVILLE THOREN",
        "first_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G159113",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "140115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan P Latcham, M.D.
• Sydney Lathrop, ARNP
• Leandra Latimer, CADC
• Allen Gary Laubenthal
• Lucas Lavelle
• Nicholas Lawler
• Haleigh Leach
• Natalie K Leddin, DO
• Christian Peter Ledet, MD
• Eric Lee, MD

• All providers in West Des Moines, IA
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.