Active NPI
Ruth Kennedy, CRNP
- Women's Health Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1-028725
- Practice address
- 5870 Alumni Circle
Mobile, AL 36688-0002 - Phone
- (251) 460-7151
- Fax
- (251) 414-8227
- NPI assigned
- Jun 2, 2006
- Last updated
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 1-028725 | AL | Primary |
Addresses
Primary practice location
5870 Alumni Circle
Mobile, AL 36688-0002
Mailing address
5870 Alumni Circle
Mobile, AL 36688-0002
Phone (251) 460-7151
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891003170 | Medicaid | AL | |
| 308796400 | Medicaid | FL | |
| 08224335 | Medicaid | MS | |
| 51545538 | Other | AL | BCBS - 1610 CENTER ST |
| 891003160 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-028725 | AL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| University of South Alabama | Past | Accepting new patients |
Locations
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Mobile, AL
- NPI 1952972812
-
dba USA Mitchell Cancer Institute
- Radiation Oncology Physician
- Mobile, AL
- NPI 1871150508
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1558309732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5870 ALUMNI CIRCLE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880002",
"telephone_number": "251-460-7151",
"fax_number": "251-460-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5870 ALUMNI CIRCLE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880002",
"telephone_number": "251-460-7151",
"fax_number": "251-414-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "RUTH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AL",
"license": "1-028725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891003170",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308796400",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08224335",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - 1610 CENTER ST",
"identifier": "51545538",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891003160",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.