Emmie Josephine Kennedy

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

526 Gaffney Rd Ste 100
Fairbanks, AK 99701-4917

Phone

(907) 687-5428

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1316842610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 GAFFNEY RD STE 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014917",
            "telephone_number": "907-687-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 GAFFNEY RD STE 100",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014917",
            "telephone_number": "907-687-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "EMMIE",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Lynn Kelly, APRN
• Staysha Kelly
• Terry Kelly, LPC
• Surech Dawn Kemesong
• Elizabeth Angusta Kendall, LMT
• Samantha Dee Kennett
• Stewart M Kerr, MD
• Nathan Joseph Kessler, DO
• Victoria L Ketchum, ATC
• Steven Ketzler, CAMP COUNSELOR

• Behavior Technician in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Behavior Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.