Individual provider Active NPI

Joseph Scott Kennedy, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1447876131
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11007644 Issued in FL
Practice address
550 Pope Ave NW
Winter Haven, FL 33881-4679
Phone
(863) 299-2630
Fax
(863) 969-0711
NPI assigned
Jun 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11007644 FL Primary

Addresses

Primary practice location

550 Pope Ave NW
Winter Haven, FL 33881-4679

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

12500 S Apopka Vineland Rd
Orlando, FL 32836-6723
Phone (407) 934-2273

Other practice location 2

1050 US Highway 27 Ste 5
Clermont, FL 34714-7508
Phone (352) 404-8944

Other practice location 3

3240 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 644-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210129001207 FL Practitioner - Nurse Practitioner 7315351517 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
Group practices
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians
Trinity Medical Physicians LLCGroup PAC ID 9234554643, 30 clinicians

Practice addresses (Care Compare)

550 Pope Ave NW
Suite 200
Winter Haven, FL 33881-4679
Phone (863) 299-2630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pediatrics CurrentSince Aug 1, 2021 Accepting new patients
Innovacare Florida Urgent Care, LLC CurrentSince Jun 2, 2025 Accepting new patients
Trinity Medical Physicians, LLC CurrentSince Oct 15, 2025 Accepting new patients
Professional Pediatrics CurrentSince Jan 26, 2025 Accepting new patients
Premier Heart and Vascular Center, PA Past Accepting new patients

Locations

1050 US Highway 27
Ste 5
Clermont, FL 34714
Phone (352) 394-3929

3240 S Florida Ave
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 100
Lakeland, FL 33803
Phone (863) 646-4000

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1037 S State Road 7
Ste 113
Wellington, FL 33414

550 Pope Ave NW
Winter Haven, FL 33881
Phone (863) 293-2144

550 Pope Ave NW
Ste 200
Winter Haven, FL 33881
Phone (863) 271-9867

550 Pope Ave NW
Ste 300
Winter Haven, FL 33881
Phone (863) 299-2636

Interoperability endpoints

  • Direct secure messaging: joseph.kennedy.1@27472.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1447876131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630",
            "fax_number": "863-969-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 S Apopka Vineland Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328366723",
            "country_code": "US",
            "telephone_number": "407-934-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 US Highway 27 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347147508",
            "country_code": "US",
            "telephone_number": "352-404-8944",
            "fax_number": "352-404-8945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3240 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034574",
            "country_code": "US",
            "telephone_number": "863-644-7337",
            "fax_number": "863-904-0398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.