Individual provider Active NPI

Katherine Elizabeth Kennedy, NP

  • Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1487080859
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
265839 Issued in NC
Practice address
805 6TH Ave W Ste 100
Hendersonville, NC 28739-4137
Phone
(828) 692-8045
Fax
(828) 692-6630
NPI assigned
Sep 17, 2013
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209553 SC
Nurse Practitioner 363L00000X 265839 NC Primary

Addresses

Primary practice location

805 6TH Ave W Ste 100
Hendersonville, NC 28739-4137

Mailing address

PO Box 27877
Salt Lake City, UT 84127-0877
Phone (919) 966-8279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20131205000760 NC Practitioner - Nurse Practitioner 4688801293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265839NCMDNurse Practitioner
209553SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Oct 28, 2013 Accepting new patients
Henderson County Hospital Corporation CurrentSince Oct 28, 2013 Accepting new patients

Locations

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

805 6th Ave W
Ste 100
Hendersonville, NC 28739
Phone (828) 692-8045

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

705 6th Ave W
Ste B
Hendersonvlle, NC 28739
Phone (828) 233-2849

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: kkennedy149531@direct.unc.nchie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1487080859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27877",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270877",
            "telephone_number": "919-966-8279",
            "fax_number": "919-966-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 6TH AVE W STE 100",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394137",
            "telephone_number": "828-692-8045",
            "fax_number": "828-692-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "209553",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "265839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.