Active NPI
Ashley Thigpen Kennedy, OTR
- Occupational Therapist
- Kenansville, NC
National Provider Identifier
1255820494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11528
- Practice address
- 514 South Main Street
Kenansville, NC 28349 - Phone
- (910) 372-9300
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11528 | NC | Primary |
Addresses
Primary practice location
514 South Main Street
Kenansville, NC 28349
Mailing address
514 South Main Street
Kenansville, NC 28349
Phone (910) 372-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508832833 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duplin General Hospital, Incorporated | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Kenansville, NC
- NPI 1942478383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1255820494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 SOUTH MAIN STREET",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "910-372-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 SOUTH MAIN STREET",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "910-372-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ASHLEY",
"middle_name": "THIGPEN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508832833",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenansville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.