Amy A Kennemore, RN, APN-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R63145 Issued in AR

Practice address

1002 Texas Blvd Ste 325
Texarkana, TX 75501-5118

Phone

(903) 794-6544

NPI assigned

Nov 5, 2007

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)

Enrolled

Credentials

Registered Nurse

State licenses

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.

• Texarkana Regional Healthcare Network

  • Specialist
  • Texarkana, TX
  • NPI 1083858831
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1518147776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 LEONA DR",
            "city": "ASHDOWN",
            "state": "AR",
            "postal_code": "718223105",
            "telephone_number": "903-826-5020",
            "fax_number": "903-764-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 TEXAS BLVD STE 325",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755015118",
            "telephone_number": "903-794-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEMORE",
        "first_name": "AMY",
        "middle_name": "A",
        "credential": "RN, APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "R63145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Kelley
• Jacob Kelton
• Lavonda D Kemp, COTA
• Mia J Kemp, OT
• Spencer Allen Kemp, D.D.S.
• Lisa Kenney-Oleson
• Klark Randall Kent, PA-C
• Jennifer Kern, MS, LPC
• Donna Kettle
• Mohammed A Khanzada, MD

• Acute Care Nurse Practitioner in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.