Eboni Kennedy, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.474789 Issued in OH

Practice address

11134 Luschek Dr
Blue Ash, OH 45241-2434

Phone

(513) 827-9273

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1457128399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 HURD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272641",
            "telephone_number": "513-365-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11134 LUSCHEK DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452412434",
            "telephone_number": "513-827-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "EBONI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.474789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Charles Kelly Jr.
• Lisa Diane Kelly, M.D.
• Cecilia Kendrick, DMD
• Kennedy Heights Counseling Services LLC
• Amanda Lauren Kennedy, AGACNP-BC
• Gracelyn Rose Kephart, CT
• Tyler Travis Kerr, OD
• Christopher James Kersting, FNP-C
• Angela Marie Keryeski, RPH
• Michael Garret Keryeski

• Registered Nurse in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.