Kaitlyn Marie Kennedy, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2016019652 Issued in MO

Practice address

621 S New Ballas Rd Ste 385a
Saint Louis, MO 63141-8214

Phone

(314) 251-5850

NPI assigned

Jun 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaitlyn.kennedy.p1@direct.thc.nextgenshare.com

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.

• Texas Health Care, P.L.L.C.

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1477628873
  NPD
• Texas Health Care, P.L.L.C.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1821026352
  NPD
• Texas Health Care, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Haltom City, TX
  • NPI 1821145764
  NPD
• Mercy Clinic Pulmonology - St. Louis, LLC

  • Pulmonary Disease Physician
  • Saint Louis, MO
  • NPI 1821137886
  NPD (past)

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1447600424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418214",
            "telephone_number": "314-251-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 385A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418214",
            "telephone_number": "314-251-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd Ste 482A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418259",
            "country_code": "US",
            "telephone_number": "314-251-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAITLYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81003",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2016019652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447600424",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald J Kennedy, MD
• Elaine Christine Kennedy, PNP
• Grace Ellen Kennedy, MD
• Harold Lloyd Kennedy, MD MPH
• John Kennedy Jr.
• Katelyn Kennedy, PHARMD
• Katie Kennedy
• Kelsey Cristina Kennedy
• Krista Marie Kennedy, OTR/L
• Liana Sue Kennedy

• Audiologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Audiologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.