Kirsten Renee Kennemer, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80126 Issued in TX

Practice address

901 Hemphill
Fort Worth, TX 76104

Phone

(817) 332-4060

Fax

(817) 332-2304

NPI assigned

Jun 3, 2008

Last updated

Jan 31, 2022By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1346409612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7749 NORTHUMBERLAND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761792171",
            "telephone_number": "214-850-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEMPHILL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-4060",
            "fax_number": "817-332-2304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Forest Ln Ste C600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752302517",
            "country_code": "US",
            "telephone_number": "972-566-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEMER",
        "first_name": "KIRSTEN",
        "middle_name": "RENEE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00693131",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200463201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanette Nicole Kennedy, DNP, APRN-NP,FNP-C
• Leekelli Kennedy, RD LD
• Paul A Kennedy III, MD
• Shane W Kennedy, MD
• Siobhan Kennedy
• Kenneth James Buley MD
• Kenneth Ray Ruelas Jr (Anchor Pediatric Therapy LLC)
• Kenneth Wayne Morris (Physiologics)
• Ashley Kenney
• Kylie Kennington

• Audiologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.