Individual provider Active NPI

Suzanne Kenedy, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1578086559
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006918 Issued in CA
Practice address
2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone
(888) 663-6331
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60787298 WA
Family Nurse Practitioner 363LF0000X 95006918 CA Primary

Addresses

Primary practice location

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170831003352 CA Practitioner - Nurse Practitioner 1456624113 Reassigns benefits to 4 organizations
I20170925001218 WA Practitioner - Nurse Practitioner 1456624113 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60787298WAMDNurse Practitioner
95006918CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family CurrentSince May 1, 2020 Accepting new patients
Multicare Health System CurrentSince Jun 9, 2023 Accepting new patients
Eleanor Health Professional Wa, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Multicare Health System CurrentSince Jun 9, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince May 1, 2020 Accepting new patients
Primary Medical Group of Ventura County Inc CurrentSince Feb 18, 2019 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

2514 Berryessa Rd
San Jose, CA 95132
Phone (408) 272-1431

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

10885 Telegraph Rd
Ventura, CA 93004
Phone (805) 647-7704

3555 Loma Vista Rd
Ste 110
Ventura, CA 93003
Phone (805) 653-0303

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

4310 Colby Ave
Ste 201
Everett, WA 98203
Phone (425) 252-7000

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1120 E Terrace St
Ste 100
Seattle, WA 98122
Phone (206) 312-4072

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1578086559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMBARCADERO CTR LBBY LEVEL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113823",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEDY",
        "first_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60787298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.