Individual provider Active NPI

Patricia Ann Kennedy, CRNP

  • Family Nurse Practitioner
  • Langhorne, PA
National Provider Identifier
1477960144
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013893 Issued in PA
Practice address
1203 Langhorne Newtown Rd
#225
Langhorne, PA 19047-1209
Phone
(215) 750-7771
Fax
(215) 750-6935
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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 SP013893 PA Primary

Addresses

Primary practice location

1203 Langhorne Newtown Rd
#225
Langhorne, PA 19047-1209

Mailing address

6249 Ingham Rd
New Hope, PA 18938-9669
Phone (215) 750-7771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013893PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tapestry Telehealth PLLC CurrentSince Apr 6, 2020 Accepting new patients
Visiting Physicians of the Delaware Valley LLC CurrentSince Dec 20, 2016 Accepting new patients
Integrated Podiatry Services, PC Past Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

3070 Bristol Pike
Ste 2-216
Bensalem, PA 19020
Phone (215) 364-8412

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Organizations & group practices 3

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1477960144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6249 INGHAM RD",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "189389669",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LANGHORNE NEWTOWN RD",
            "address_2": "#225",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471209",
            "telephone_number": "215-750-7771",
            "fax_number": "215-750-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.