Amy B Kennedy, AUDIOLOGIST

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1006A Issued in AL

Practice address

107 E Watts St
Enterprise, AL 36330-2511

Phone

(334) 393-6837

Fax

(334) 393-7011

NPI assigned

Mar 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southeastern ENT, P.C.

  • Specialist
  • Enterprise, AL
  • NPI 1487708731
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1356512933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311307",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311307",
            "telephone_number": "334-393-6837",
            "fax_number": "334-393-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E WATTS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302511",
            "telephone_number": "334-393-6837",
            "fax_number": "334-393-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "1006A",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AL",
            "license": "1006A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Burkett Jones, PA-C
• Beverly F Jordan, M.D.
• Lawrence C Katz, PH. D.
• Madison Paige Kelley, MAT, LAT, ATC
• Anabeth Gilley Kendrick, M.S., CCC-SLP
• Kenneth W Chancey DMD LLC
• Bailey Renate Kennington
• Leeann McAliley Kettunen, MD
• William Kettunen, MD
• Leah Kidd, LMT

• Audiologist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Audiologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.