Carol Lynn Kennedy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

74318 Issued in OK

Practice address

2701 W University Blvd
Durant, OK 74701-2997

Phone

(580) 740-4053

Fax

(877) 725-8976

NPI assigned

Mar 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, AR2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pavilion Behavioral Health LLCGroup PAC ID 3577051903, 3 clinicians

Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

My Psych Health LLCGroup PAC ID 0749655207, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

15.5 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

51.67

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.kennedy.1@23749.direct.athenahealth.com

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.

• Homecare Advisors LLC

  dba Pinnacle Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durant, OK
  • NPI 1689152894

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Pavilion Behavioral Health LLC

  • Geriatric Psychiatry Physician
  • Vian, OK
  • NPI 1992539472

  AR, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• My Psych Health LLC

  • Counseling Psychologist
  • Alma, AR
  • NPI 1215643028

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Meridian Long Term Care Services LLC

  • Clinic/Center
  • Shawnee, OK
  • NPI 1164176442

  Multi-Specialty

  Medicare reassignment NPD
• Paramount Wound Care LLC

  • Wound Care Registered Nurse
  • Vian, OK
  • NPI 1104650688

  AR, Multi-Specialty

  Medicare reassignment NPD
• Team Clinics Ah LLC

  • Clinic/Center
  • Oklahoma City, OK
  • NPI 1366022998

  Multi-Specialty

  Medicare reassignment NPD
• Healing Wound Care LLC

  • Wound Care Registered Nurse
  • Alma, AR
  • NPI 1164290904

  Multi-Specialty

  Medicare reassignment NPD
• Balanced Approach Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Kingston, OK
  • NPI 1760221535
  NPD Authorized official

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1194119016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012997",
            "telephone_number": "580-740-4053",
            "fax_number": "877-725-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012997",
            "telephone_number": "580-740-4053",
            "fax_number": "877-725-8976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Reynolds Ave",
            "address_purpose": "LOCATION",
            "city": "Poteau",
            "state": "OK",
            "postal_code": "749534724",
            "country_code": "US",
            "telephone_number": "918-649-0172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0074318",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "74318",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "74318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailly Renee Keith
• Kelley Medical Equipment and Supply LLC
• Callie Kelley
• Trenton Cole Kellogg, OD
• Sonya Kelly
• Ricky Kennedy, LPC
• Kenneth F Duggan Crna Inc
• Kenneth L. Cone DDS, PC
• Shelly Kepler, LMFT
• Kevin W Croft, M.D.

• Family Nurse Practitioner in Durant, OK
• Providers in Durant, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.