Individual provider Active NPI

Jessica Kennard, D.O.

  • Gynecologic Oncology Physician
  • Orlando, FL
National Provider Identifier
1225477607
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
OS14414 Issued in FL
Practice address
2501 N Orange Ave Ste 786
Orlando, FL 32804-4651
Phone
(407) 303-2422
Fax
(407) 303-2435
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X OS14414 FL Primary
Obstetrics & Gynecology Physician 207V00000X OS14414 FL

Addresses

Primary practice location

2501 N Orange Ave Ste 786
Orlando, FL 32804-4651

Mailing address

900 Winderley PL
Maitland, FL 32751-7267
Phone (407) 303-0500

Other practice location 1

380 Celebration Pl # 2
Celebration, FL 34747-4606
Phone (407) 303-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428001702 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3870736556 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2501 N Orange Ave
Orlando, FL 32804-4641

2501 N Orange Ave
Suite 786
Orlando, FL 32804-4651
Phone (407) 303-2422

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14414FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Aug 12, 2024 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
Women'S Care Florida LLC Obstetrics & Gynecology CurrentSince May 1, 2020 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Aug 12, 2024 Accepting new patients
Florida Hospital Medical Group Inc PastSince Aug 25, 2024 Accepting new patients

Locations

380 Celebration Pl
#2
Kissimmee, FL 34747
Phone (407) 303-2422

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

900 Winderley Pl
Maitland, FL 32751

2501 N Orange Ave
Ste 786
Orlando, FL 32804
Phone (407) 303-2422

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

600 8th St S
Ste B
St Petersburg, FL 33701
Phone (727) 821-9688

700 6th St S
Fl 2
St Petersburg, FL 33701
Phone (727) 893-6198

2191 9th Ave N
Ste 120
St Petersburg, FL 33713
Phone (727) 826-0795

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jkennard3826137@adventhealth.direct-ci.com
  • Direct secure messaging: jkennard189270@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1225477607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WINDERLEY PL",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517267",
            "telephone_number": "407-303-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 786",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044651",
            "telephone_number": "407-303-2422",
            "fax_number": "407-303-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Celebration Pl # 2",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347474606",
            "country_code": "US",
            "telephone_number": "407-303-2422",
            "fax_number": "407-303-2435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNARD",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "OS14414",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS14414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.