Vanessa Kenney, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

341345 Issued in NY

Practice address

28A Melissa St
Staten Island, NY 10314-7439

Phone

(646) 771-8776

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Vanessa Petitto Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1497228522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARK LANE SOUTH UNIT 2003",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "646-771-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28A MELISSA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147439",
            "telephone_number": "646-771-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "VANESSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "PETITTO",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Kennedy, NURSE PRACTITIONER
• Stephanie Lisa Kennedy
• Kenneth B Chapman MD PLLC
• Kenneth Horowitz OD
• Kenneth L Schoen PC
• James F. Kenny, MD
• Kathleen Kenny, M.A., CCC-SLP
• Scott Michael Kenyon, DMD
• Roberta Keohane
• Reshma B. Kerkar, M.D.

• Family Nurse Practitioner in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.