Deborah Jean Kenyon, BA-HC, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

RN3075712 Issued in FL

Practice address

2747 N Poinciana Blvd Apt 13
Kissimmee, FL 34746-5256

Phone

(407) 301-0357

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1164027108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423514",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347423514",
            "telephone_number": "407-301-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 N POINCIANA BLVD APT 13",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465256",
            "telephone_number": "407-301-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "BA-HC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN3075712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2747 N Poinciana Blvd Apt 13",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347465256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jahkevah Kendrick
• James Bruce Kendrick, DMD
• Lillian E Kennedy, SLPA
• Sean Michael Kennedy, MD
• Sherline Kenton-Morris
• Jeannette R Kerns, AP, DOM, L.AC.
• Sarah Ketterman
• Kevin Nicholson LLC
• Key Life Concepts LLC
• Key Life Concepts LLC

• Critical Care Medicine Registered Nurse in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Critical Care Medicine Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.