Casey Woodard Kennedy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108817 Issued in TX

Practice address

4523 114TH St
Lubbock, TX 79424-2289

Phone

(806) 797-0000

Fax

(806) 797-0101

NPI assigned

Aug 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

RDM Home Medical, LLCGroup PAC ID 0345502365, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RDM Home Medical, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Graham, TX
  • NPI 1790285468
  Medicare reassignment Care Compare group NPD
• Beyondfaith Hospice of Lubbock LLC

  • Community Based Hospice Care Agency
  • Lubbock, TX
  • NPI 1083005938
  NPD

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1356865372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242289",
            "telephone_number": "806-797-0000",
            "fax_number": "806-797-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242289",
            "telephone_number": "806-797-0000",
            "fax_number": "806-797-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CASEY",
        "middle_name": "WOODARD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Brandon Kelly, MD
• Stacey Rachelle Kelly, FNP
• Katy Kemeze Nguefack
• Amber Kemper, PA-C
• Ashley Kennedy, APRN, FNP-C
• Dietmar A Kennel, DDS
• Elizabeth Walterscheid Kennelly, AA
• Cindy D Kennon, PTA
• Kelly P Kensing, M.D.
• Carol Kent, MED, LPC-S

• Family Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.