Pamela Kenyon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW8461 Issued in FL

Practice address

1190 37TH St
Vero Beach, FL 32960-6507

Phone

(772) 563-4666

NPI assigned

Jan 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Indian River Health Services Inc

  dba Behavioral Health Center

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment
• Indian River Health Services Inc

  dba IRHS Neurology

  • Neurology Physician
  • Vero Beach, FL
  • NPI 1104378363
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1245945500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 37TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606507",
            "telephone_number": "772-563-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENYON",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "SW8461",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth a Mogell DMD PA
• Kenneth a. Mogell, DMD, PA (Florida Dental Sleep Disorders)
• Kenneth L Director MD PA
• Kelsey Kenney
• Lisa Eleanor Kent, APRN-C
• Alana M Keough Humberson, DMD
• Cynthia Kepfer, APRN, PMHNP-BC
• Stephen R Kepley, O.D.
• Heather Kerr, ARNP
• John M. Kestranek, DDS

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.