Active NPI
Kenyatta Kennedy
- Family Nurse Practitioner
- Salt Lake City, UT
National Provider Identifier
1346162849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP333507
- Practice address
- 4001 S 700 E Ste 700
Salt Lake City, UT 84107-2533 - Phone
- (801) 274-3280
- NPI assigned
- Jul 27, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP333507 | GA | Primary |
Addresses
Primary practice location
4001 S 700 E Ste 700
Salt Lake City, UT 84107-2533
Mailing address
365 McGiboney LN
Covington, GA 30016-7348
Phone (404) 956-7496
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1346162849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 MCGIBONEY LN",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300167348",
"telephone_number": "404-956-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 S 700 E STE 700",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072533",
"telephone_number": "801-274-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KENYATTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "NP333507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.