Individual provider Active NPI

Yliana Kennedy

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1295144632
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09121 Issued in TX
Practice address
6400 Fannin St
Suite 1700
Houston, TX 77030-1521
Phone
(713) 486-7500
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09121 TX Primary

Addresses

Primary practice location

6400 Fannin St
Suite 1700
Houston, TX 77030-1521

Mailing address

PO Box 301173
Dallas, TX 75303-1173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, LA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170329002572 TX Practitioner - Physician Assistant 3678858883 Reassigns benefits to 2 organizations
I20241205002922 TN Practitioner - Physician Assistant 3678858883 Reassigns benefits to 1 organization
I20260319000241 LA Practitioner - Physician Assistant 3678858883

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adjuvant Behavioral Health IncGroup PAC ID 2860865557, 15 clinicians

Practice addresses (Care Compare)

11754 Jollyville Rd
Suite 110
Austin, TX 78759-3948
Phone (800) 960-8633

3200 W End Ave
Suite 564
Nashville, TN 37203-1330
Phone (866) 912-2746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adjuvant Behavioral Health of Louisiana, LLC Physician Assistant CurrentSince Feb 10, 2026 Accepting new patients
Ut Physicians CurrentSince Apr 3, 2017 Accepting new patients
Adjuvant Behavioral Health Inc Physician Assistant CurrentSince Apr 30, 2024 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Apr 3, 2017 Accepting new patients
Adjuvant Behavioral Health Inc Physician Assistant CurrentSince Jul 20, 2024 Accepting new patients
Texas Children's Physician Group Past Accepting new patients

Locations

333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341

3200 West End Ave
Ste 564
Nashville, TN 37203

3200 West End Ave
Ste 500
Nashville, TN 37203
Phone (615) 385-4090

11754 Jollyville Rd
Ste 110
Austin, TX 78759
Phone (512) 331-2700

6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1295144632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301173",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "SUITE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301521",
            "telephone_number": "713-486-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "YLIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.