Kaitlyn Erin Kennedy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024151 Issued in NY

Practice address

322 Lake Ave
Rochester, NY 14608-1162

Phone

(585) 423-5800

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Highland Hospital of Rochester

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1902221518
  Medicare reassignment NPD
• Anthony L. Jordan Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Canandaigua, NY
  • NPI 1649529678
  Medicare reassignment
• Anthony L. Jordan Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
  • NPI 1083716088
  NPD
• Anthony L. Jordan Health Corporation

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1528317567
  NPD
• Highland Hospital of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1255997581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EAST ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481309",
            "telephone_number": "860-682-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 LAKE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146081162",
            "telephone_number": "585-423-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAITLYN",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Kennedy, MD
• Brittney Kennedy, LMHC
• Ethan Kennedy, DO
• Jessica Lynn Kennedy, LMHC
• Judith Landy Kennedy, SLP
• Molly K Kennedy, FNP
• Nancy A. Kennedy, LMSW
• Todd Kennedy, LMSW
• Yathona Rashad Kennedy, LMSW
• Morgan Elizabeth Kennell, LMSW

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.