Vicky T Kennedy, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024166150 Issued in VA

Practice address

1755 N Mecklenburg Ave
South Hill, VA 23970-4080

Phone

(434) 584-5502

Fax

(434) 584-5509

NPI assigned

Jun 26, 2006

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

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Merit-based Incentive Payment System (MIPS)

Final score

85.74 of 100Reported as group

Quality

74.5

Promoting interoperability

100

Improvement activities

40

Cost

77.96

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• CMH Physician Services, LLC

  • Internal Medicine Physician
  • South Hill, VA
  • NPI 1194760645
  Medicare reassignment NPD
• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD
• CMH Physician Services, LLC

  • Hospitalist Physician
  • South Hill, VA
  • NPI 1386028793
  NPD
• Hand Works, Inc.

  • Physical Therapy Clinic/Center
  • Chesapeake, VA
  • NPI 1013101765
  NPD (past)
• Jordan-Young Inst for Joint Reconstruction and Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
  • NPI 1033145404
  NPD (past)
• Northern Carolina Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Roanoke Rapids, NC
  • NPI 1912035593
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1396772505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239700623",
            "telephone_number": "434-584-5502",
            "fax_number": "434-584-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N MECKLENBURG AVE",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239704080",
            "telephone_number": "434-584-5502",
            "fax_number": "434-584-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VICKY",
        "middle_name": "T",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor H Jones
• Joseph Acka
• Suzanne B Kaiser, MD
• Zoheir J Kaiser, MD
• Graham Keats, MD
• Fariah Habib Khan, DO
• Kimball Jade Kindley, M.D.
• Abigail Klena
• Sindhuja Koppu
• Rothea Kornelius, PT

• Family Nurse Practitioner in South Hill, VA
• Providers in South Hill, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.