Individual provider Active NPI

Sarah Lynn Kennedy, DO

  • Sports Medicine (Family Medicine) Physician
  • Arlington, TX
National Provider Identifier
1326186131
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
N6416 Issued in TX
Practice address
4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517
Phone
(817) 960-9120
Fax
(817) 466-7289
NPI assigned
Feb 2, 2007
Last updated
Feb 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X N6416 TX Primary

Addresses

Primary practice location

4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517

Mailing address

4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1517
Phone (817) 960-9120

Other identifiers 3

IdentifierTypeStateIssuer
8EQ081OtherTXBCBS
P01447522OtherTXRAILROAD MEDICARE
339171601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140918000324 TX Practitioner - Sports MedicinePractitioner - Family Practice 0042448730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

902 W Randol Mill Rd
Suite 120
Arlington, TX 76012-2579
Phone (817) 801-1503

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Feb 15, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 15, 2016 Accepting new patients

Locations

4401 Park Springs Blvd
Ste 130
Arlington, TX 76017
Phone (817) 270-9164

902 W Randol Mill Rd
Ste 120
Arlington, TX 76012
Phone (817) 801-1503

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: skennedy456365@direct.texashealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1326186131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171517",
            "telephone_number": "817-960-9120",
            "fax_number": "817-466-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171517",
            "telephone_number": "817-960-9120",
            "fax_number": "817-466-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N6416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EQ081",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01447522",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339171601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.