Victoria King Kennedy, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-129596 Issued in AL

Practice address

11448 Alabaster Dr
Daphne, AL 36526-3408

Phone

(251) 229-2233

Fax

(251) 257-5043

NPI assigned

Dec 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: victoria.kennedy@217526021193732.direct.elationemr.com
• Direct secure messaging: victoria.kennedy.p2@direct.alegiscare.nextgenshare.com

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1528573573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11448 ALABASTER DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365263408",
            "telephone_number": "251-229-2233",
            "fax_number": "251-257-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11448 ALABASTER DR",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365263408",
            "telephone_number": "251-229-2233",
            "fax_number": "251-257-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VICTORIA",
        "middle_name": "KING",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-01-03",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-129596",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11014337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "MK6232730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Kayl, D.O.
• Erin Elizabeth Keck, PHARMD
• Kelley Wilson Psychological Services, LLC
• Marlena Kelley, PHARMD
• Anna Victoria Kennedy, PT
• Meghan Hagopian Kern, OTR/L
• Keystone Recovery, LLC
• Khaled Khamis, BCBA
• Kids Kount Therapy Services
• Kids Kount Therapy Services, LLC

• Family Nurse Practitioner in Daphne, AL
• Providers in Daphne, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.