Kennedy Michele Whitehead

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1 Club Manor Dr
Maumelle, AR 72113-6406

Phone

(501) 912-1986

NPI assigned

May 14, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1285563437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLUB MANOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136406",
            "telephone_number": "501-912-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLUB MANOR DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136406",
            "telephone_number": "501-912-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KENNEDY",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Watt
• Katherine J Weiler, MSE-SLP
• Victor Werner, LPC
• Patty K. Whaley, L.C.S.W.
• Angela White, OTR/L
• Marley Mitchell Whitener, RD
• Travon Whiteside, PT, DPT
• Arnetta Marie Williams
• Molly Williams, RDN/CSP/LD
• Elizabeth Ann Williamson, MS, RD, LD

• Student in an Organized Health Care Education/Training Program in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Student in an Organized Health Care Education/Training Program in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.