Active NPI
Jill Cooper Kenney, N.D.
- Naturopath
- Trumbull, CT
National Provider Identifier
1447519582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 000318
- Practice address
- 5520 Park Ave
Trumbull, CT 06611-3463 - Phone
- (781) 507-1319
- NPI assigned
- May 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 000318 | CT | Primary |
Addresses
Primary practice location
5520 Park Ave
Trumbull, CT 06611-3463
Mailing address
5520 Park Ave
Trumbull, CT 06611-3463
Phone (781) 507-1319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000318 | CT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1447519582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "781-507-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 PARK AVE",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066113463",
"telephone_number": "781-507-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "JILL",
"middle_name": "COOPER",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-10",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CT",
"license": "000318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.