Amy Raffety Kennett, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1096427

Practice address

1721 N Philip St Apt a
Philadelphia, PA 19122-3160

Phone

(641) 990-8910

NPI assigned

Oct 15, 2021

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25429/brand/1/csg/1/fhir/r4

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.

• Kiwell Nutrition Consulting, LLC

  • Registered Dietitian
  • Philadelphia, PA
  • NPI 1760149827

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1548923741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N PHILIP ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223160",
            "telephone_number": "641-990-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N PHILIP ST APT A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191223160",
            "telephone_number": "641-990-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETT",
        "first_name": "AMY",
        "middle_name": "RAFFETY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1096427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Rosita Kenner, CRNP, PMHNP
• Paula Nadine Kenner, CERTIFIED HAIR LOSS
• Kenneth E Wasserman MD PC
• Kenneth J Soapes, D.M.D & Associate
• Kenneth L. Kershbaum MD, Facc ,LLC
• Courtney Kenney, LCSW
• Gillian Kenney
• Lawrence Edward Kenney, M.D.
• Lisa Kenney, DPT
• Mildred Kenney, LSW

• Registered Dietitian in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.