Active NPI
Christine Kenny, DNP
- Adult Health Nurse Practitioner
- Palm City, FL
National Provider Identifier
1174671267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11007630
- Practice address
- 1165 SW 27TH St
Palm City, FL 34990-2907 - Phone
- (772) 255-6565
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN9535939 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11007630 | FL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 303770 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | F340280 | NY |
Addresses
Primary practice location
1165 SW 27TH St
Palm City, FL 34990-2907
Mailing address
2058 NW Estuary CT
Stuart, FL 34994-8808
Phone (917) 575-1890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 340280 | NY | MD | Surgery Physician |
| APRN11007630 | FL | MD | Adult Health Nurse Practitioner |
| F340280 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seegott Health LLC | Gerontology | Current | Accepting new patients |
Locations
1165 SW 27th St
Palm City, FL 34990
Phone (772) 255-6565
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1174671267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2058 NW ESTUARY CT",
"city": "STUART",
"state": "FL",
"postal_code": "349948808",
"telephone_number": "917-575-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 SW 27TH ST",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902907",
"telephone_number": "772-255-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "CHRISTINE",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "RN9535939",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11007630",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303770",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.