Melissa Kay Kennedy, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

213517 Issued in TX

Practice address

9114 Royal LN
Waco, TX 76712-8469

Phone

(903) 229-2277

NPI assigned

Apr 25, 2018

Last updated

Apr 25, 2018By 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

State licenses

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1497243380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 FM 709 S",
            "city": "PURDON",
            "state": "TX",
            "postal_code": "766793063",
            "telephone_number": "903-229-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 ROYAL LN",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128469",
            "telephone_number": "903-229-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "213517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachry Thomas Kempf, DO
• Cassie E Kendrick, PSYD
• Matthew Locke Kendrick, M.D.
• Brooke Ellyn Keneipp
• Erin Kinsey Kennedy
• Steven Wayne Kennedy, DMD
• Karlee Kenney
• Cameron Keomanivong, MD
• David Gary Kerns, DMD
• Lisa L Kerns, DDS MS

• Occupational Therapy Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.