NPIMap

Individual provider Active NPI

Kennedy U. Onori, PHD., FNP-BC

  • Nurse Practitioner
  • Louisburg, NC
National Provider Identifier
1407465651
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013352 Issued in NC
Practice address
315 Franklin PLZ
Louisburg, NC 27549-2765
Phone
(919) 496-4976
NPI assigned
Jul 23, 2020
Last updated
Jul 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013352 NC Primary
Family Nurse Practitioner 363LF0000X 5013352 NC
Primary Care Nurse Practitioner 363LP2300X 5013352 NC

Addresses

Primary practice location

315 Franklin PLZ
Louisburg, NC 27549-2765

Mailing address

125 Highview Dr
Youngsville, NC 27596-7914
Phone (919) 720-0480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101002837 NC Practitioner - Nurse Practitioner 3375931967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Impact Healthcare, P.a.Group PAC ID 3476810532, 11 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

315 Franklin PLZ
Louisburg, NC 27549-2765
Phone (919) 496-4976

480 Ruin Creek Rd
Henderson, NC 27536-2929
Phone (252) 492-3152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5013352NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Healthcare, P.a. CurrentSince Sep 20, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jan 8, 2024 Accepting new patients

Locations

480 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 492-3152

315 S Bickett Blvd
Louisburg, NC 27549
Phone (919) 496-4976

1490 Williamsboro St
Oxford, NC 27565
Phone (919) 693-3972

Interoperability endpoints

  • Direct secure messaging: kennedy.onori.1@23963.direct.athenahealth.com
  • Direct secure messaging: konori52076@direct.medicine.duke.edu

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1407465651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HIGHVIEW DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967914",
            "telephone_number": "919-720-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FRANKLIN PLZ",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492765",
            "telephone_number": "919-496-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONORI",
        "first_name": "KENNEDY",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "PHD., FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013352",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013352",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5013352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

Verify at the official NPI Registry.