Sara Kennedy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

119018 Issued in IA

Practice address

1770 92ND St Unit 7101
West Des Moines, IA 50266-3216

Phone

(515) 991-5143

NPI assigned

Oct 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1285277483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 92ND ST UNIT 7101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 92ND ST UNIT 7101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502663216",
            "telephone_number": "515-991-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "119018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Myers LLC
• Kelsey Therapy, PLLC
• Alexander M Kelso
• Kade Kelso, DC
• Joel Kennedy, MPT
• Mary Kenney, RD, LD
• Alexander Kennison, LMFT
• Miemie Kephart, PHARMD
• Jeffrey S Kerber, LMFT
• Shawn Michael Kerby, D.D.S.

• Registered Nurse in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.