Jodie Marie Kennedy

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

RN260444 Issued in MA

Practice address

49 Wood St
Woburn, MA 01801-3709

Phone

(617) 610-7510

NPI assigned

Oct 12, 2023

Last updated

Oct 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1205617412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOOD ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013709",
            "telephone_number": "617-834-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WOOD ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018013709",
            "telephone_number": "617-610-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JODIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MA",
            "license": "RN260444",
            "primary": true
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MA",
            "license": "RN260444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kelley
• Caroline Kelly
• Laura Kelly, M.A.
• Nancy Kelly
• Jane M Kendall
• Lori Kennedy, PTA
• Deborah Keohan, RN CS
• Irene Elizabeth Kerr, PT
• Michelle Kerr, PT
• Susan P. Kessler, MSW

• Pediatric Registered Nurse in Woburn, MA
• Providers in Woburn, MA by specialty
• Pediatric Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.