Organization Active NPI

The Kennedy Group

  • Community/Behavioral Health Agency
  • Hampton, VA
National Provider Identifier
1306224407
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE KENNEDY GROUP
Practice address
112 Kings Way
Suite C
Hampton, VA 23669-3500
Phone
(757) 722-1800
Fax
(757) 722-1900
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Beonko Alejandro Sampson
Title
Ceo
Phone
(757) 722-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

112 Kings Way
Suite C
Hampton, VA 23669-3500

Mailing address

112 Kings Way
Suite C
Hampton, VA 23669-3500
Phone (757) 722-1800

National Provider Directory

National Provider Directory

Locations

112 Kings Way
#C
Hampton, VA 23669
Phone (757) 722-1800

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1306224407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KINGS WAY",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693500",
            "telephone_number": "757-722-1800",
            "fax_number": "757-722-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KINGS WAY",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693500",
            "telephone_number": "757-722-1800",
            "fax_number": "757-722-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KENNEDY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "BEONKO",
        "authorized_official_middle_name": "ALEJANDRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-722-1800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.