Stacy Lee Kennigseder, R.N.

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

R094022 Issued in AR

Practice address

5 Salome St
Fort Smith, AR 72901-6546

Phone

(479) 414-4779

NPI assigned

Dec 1, 2016

Last updated

Dec 1, 2016By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1396288734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SALOME ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016546",
            "telephone_number": "479-414-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SALOME ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729016546",
            "telephone_number": "479-414-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNIGSEDER",
        "first_name": "STACY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R094022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Roberts DDS PC
• Marla Kendrick, LPC
• April Kennedy
• Edmund Kennedy, MD
• Kenneth E. Gardner, M.D., P.a.
• Lacey Deshay Kennon, APRN, FNP-C
• Nicole Kennon
• Dustin Donald Kenny, DDS
• Joseph Henry Kent, CRNA
• Stephanie L Kerr, ANP

• Critical Care Medicine Registered Nurse in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Critical Care Medicine Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.