Erika Maricela Kennedy

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

600 E 4TH St
Chaska, MN 55318-2102

Phone

(952) 361-1344

NPI assigned

Jun 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carver County

  • Public Health or Welfare Agency
  • Chaska, MN
  • NPI 1003020165
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1497315634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182102",
            "telephone_number": "952-361-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ERIKA",
        "middle_name": "MARICELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Hainsworth Kandiko, MD
• Nadia Karg, ATS
• Karen Elizabeth Karn, M.D.
• Erin Jean Keech, PA-C
• Reed Keen, M.A.
• Kerber Psychological Services LLC
• Jacob Kerbeshian, MD
• Brenda Keske
• Eileen Marie Kirk, CPM
• Peter Marot Klinkenberg, DDS

• Community Health Worker in Chaska, MN
• Providers in Chaska, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.