Individual provider Active NPI

Latosha M Kennedy, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Dekalb, IL
National Provider Identifier
1154490225
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209028521 Issued in IL
Practice address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone
(815) 756-1521
Fax
(815) 766-9647
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209028521 IL Primary
Certified Registered Nurse Anesthetist 367500000X 2022009227 MO
Certified Registered Nurse Anesthetist 367500000X RN093957 LA

Addresses

Primary practice location

1 Kish Hospital Dr
Dekalb, IL 60115-9602

Mailing address

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

Other identifiers 2

IdentifierTypeStateIssuer
1721581MedicaidLA
20-1249716OtherLAFEDERAL TAX I.D.NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS, MO, NC, OH, MN, IL7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20060110000122 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 1 organization
I20150327002071 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 2 organizations
I20220323002628 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 1 organization
I20240810000236 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 1 organization
I20241218002588 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 1 organization
I20250410001313 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 1 organization
I20251230001751 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951324508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602

5777 Dept
Carol Stream, IL 60122-0021

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3136MNMDPsychologist
7393NCMDEndodontist
209028521ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Dec 13, 2025 Accepting new patients
Perioperative Services of Mississippi, LLC CurrentSince Mar 1, 2023 Accepting new patients
Meritas Health Corporation CurrentSince May 1, 2022 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 24, 2024 Accepting new patients
Marion Area Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jun 24, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 13, 2025 Accepting new patients
Allina Health System Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2025 Accepting new patients
Meritas Health Corporation CurrentSince May 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Apr 3, 2025 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2015 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Sep 1, 2017 Accepting new patients
Tuhc Anesthesiology Group LLC Past Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Dept L3652
Columbus, OH 43260

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1154490225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-756-1521",
            "fax_number": "815-766-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-756-1521",
            "fax_number": "815-766-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LATOSHA",
        "middle_name": "M",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209028521",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2022009227",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN093957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721581",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I.D.NUMBER",
            "identifier": "20-1249716",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.