Active NPI
Sandra Kennedy, RN
- Registered Nurse
- Marathon, FL
National Provider Identifier
1306248091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN9381898
- Practice address
- 3000 41St Street Ocean
Marathon, FL 33050-2373 - Phone
- (305) 434-7660
- NPI assigned
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9381898 | FL | Primary |
Addresses
Primary practice location
3000 41St Street Ocean
Marathon, FL 33050-2373
Mailing address
15 Lime St
Key Largo, FL 33037-3885
Phone (678) 349-6531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9381898 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1306248091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LIME ST",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330373885",
"telephone_number": "678-349-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 41ST STREET OCEAN",
"city": "MARATHON",
"state": "FL",
"postal_code": "330502373",
"telephone_number": "305-434-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "SANDRA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9381898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marathon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.