Active NPI
Emily Kennedy, CRNP
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1447688817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- SP013289
- Practice address
- 500 Grant Street Suite 151-2010
Pittsburgh, PA 15258 - Phone
- (412) 234-4500
- NPI assigned
- Oct 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP013289 | PA | |
| Family Medicine Physician | 207Q00000X | SP013289 | PA | Primary |
Addresses
Primary practice location
500 Grant Street Suite 151-2010
Pittsburgh, PA 15258
Mailing address
120 Lytton Ave
Suite 100a
Pittsburgh, PA 15213-1481
Phone (412) 647-4545
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)
- Enrolled
- Credentials
- Certified Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1447688817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LYTTON AVE",
"address_2": "SUITE 100A",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152131481",
"telephone_number": "412-647-4545",
"fax_number": "412-647-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GRANT STREET SUITE 151-2010",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15258",
"telephone_number": "412-234-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "EMILY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP013289",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "SP013289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.