Active NPI
Bridget Drucilla Kennedy
- Registered Nurse
- Warrensburg, MO
National Provider Identifier
1346571189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 130388
- Practice address
- 520 Burkarth Rd
Suite C
Warrensburg, MO 64093-3104 - Phone
- (660) 747-7127
- Fax
- (816) 318-3068
- NPI assigned
- Jan 19, 2010
- 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 | 130388 | MO | Primary |
Addresses
Primary practice location
520 Burkarth Rd
Suite C
Warrensburg, MO 64093-3104
Mailing address
520 Burkarth Rd
Suite C
Warrensburg, MO 64093-3104
Phone (660) 747-7127
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130388 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1346571189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 BURKARTH RD",
"address_2": "SUITE C",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933104",
"telephone_number": "660-747-7127",
"fax_number": "816-318-3068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 BURKARTH RD",
"address_2": "SUITE C",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640933104",
"telephone_number": "660-747-7127",
"fax_number": "816-318-3068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "BRIDGET",
"middle_name": "DRUCILLA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "130388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.