Individual provider Active NPI

Anne Elizabeth Kenney, NURSE PRACTITIONER

  • Nurse Practitioner
  • Howell, MI
National Provider Identifier
1184722852
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704208273 Issued in MI
Practice address
1200 Byron Rd
Howell, MI 48843-1007
Phone
(517) 546-0200
Fax
(517) 546-4669
NPI assigned
Sep 20, 2006
Last updated
Jan 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704208273 MI Primary

Addresses

Primary practice location

1200 Byron Rd
Howell, MI 48843-1007

Mailing address

7197 Rickett Rd
Brighton, MI 48116-8249
Phone (517) 881-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050628000828 MI Practitioner - Nurse Practitioner 3476599663 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Group PLLC CurrentSince Jan 1, 2020 Accepting new patients
Joel Wellness Clinic PLLC CurrentSince Oct 18, 2025 Accepting new patients
VMD Primary Providers Eastern Michigan, PC CurrentSince Sep 4, 2021 Accepting new patients
Envision Medical Group PLLC Current Accepting new patients
Envision Medical Group PLLC CurrentSince Jan 1, 2020 Accepting new patients
Adult Endocrinology Consultants, PC Past Accepting new patients
Steven Owens Family Practice, PLC Past Accepting new patients

Locations

2900 Golfside Dr
Ste 8
Ann Arbor, MI 48108
Phone (734) 356-3303

15144 Levan Rd
Ste 44
Livonia, MI 48154
Phone (734) 356-3303

422 N Center St
Northville, MI 48167
Phone (248) 348-1131

42931 7 Mile Rd
Northville, MI 48167
Phone (248) 348-2442

39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

12660 10 Mile Rd
Ste C
South Lyon, MI 48178
Phone (248) 270-8081

22024 Pontiac Trl
South Lyon, MI 48178
Phone (248) 348-8700

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

620 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 624-4511

Interoperability endpoints

  • Direct secure messaging: anne.kenney.1@24208.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24208/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1184722852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7197 RICKETT RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481168249",
            "telephone_number": "517-881-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BYRON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431007",
            "telephone_number": "517-546-0200",
            "fax_number": "517-546-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704208273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.