Anna Kennedy, RN, MSN, PCCN, ACCNS

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

CNS000387 Issued in PA

Practice address

2160 State Rd
Lancaster, PA 17601-1812

Phone

(717) 318-4508

NPI assigned

Sep 9, 2024

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1245066299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 KONHAUS RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503126",
            "telephone_number": "717-991-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 STATE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176011812",
            "telephone_number": "717-318-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ANNA",
        "credential": "RN, MSN, PCCN, ACCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PA",
            "license": "RN671952",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "PA",
            "license": "CNS000387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rene Kelly, LSW
• Sajdah Kelly
• Tiana Kelly, MA, LPC, NCC
• Jillian Kemmerly
• Sharon Kemnitzer
• Judith Kennedy
• Kelly Kennedy
• Dylan Charles Kepler
• Borko Kereshi, M.D.
• Cynthia Ann Kern, MA, LBS, BCBA

• Clinical Nurse Specialist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Clinical Nurse Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.