Individual provider Active NPI

Emily Kennedy, NP

  • Family Nurse Practitioner
  • Ellicott City, MD
National Provider Identifier
1578128773
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112439 Issued in WV
Practice address
3300 Centennial LN
Ellicott City, MD 21042-3600
Phone
(866) 389-2727
NPI assigned
May 3, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112439 WV Primary

Addresses

Primary practice location

3300 Centennial LN
Ellicott City, MD 21042-3600

Mailing address

3300 Centennial LN
Ellicott City, MD 21042-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.kennedy@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20221108001174 WV Practitioner - Nurse Practitioner 4385971761 Reassigns benefits to 1 organization
I20251107001986 DC Practitioner - Nurse Practitioner 4385971761 Reassigns benefits to 2 organizations
I20251107002149 MD Practitioner - Nurse Practitioner 4385971761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1 CVS Dr
Woonsocket, RI 02895-6146

1249 15TH St
Suite 4000
Huntington, WV 25701-3663
Phone (304) 691-8500

3300 A Centennial LN
Ellicott City, MD 21042-3600
Phone (866) 389-2727

7955 Tuckerman LN
Rockville, MD 20854-3243
Phone (886) 389-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112439WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Oct 3, 2022 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Oct 3, 2022 Accepting new patients
Minuteclinic LLC Family CurrentSince Oct 24, 2025 Accepting new patients
Minuteclinic Primary Care Maryland LLC Family CurrentSince Oct 24, 2025 Accepting new patients
University Physicians & Surgeons, Inc Family Current Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

7809 Wisconsin Ave
Bethesda, MD 20814
Phone (301) 896-9144

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

3300 Centennial Ln
#A
Ellicott City, MD 21042
Phone (301) 792-5104

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

1001 York Rd
Towson, MD 21204
Phone (410) 823-3900

1249 15th St
Ste 4000
Huntington, WV 25701
Phone (304) 691-8500

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: emily.kennedy.p1@direct.chsica.nextgenshare.com
  • Direct secure messaging: emily.kennedy@marshall.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1578128773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CENTENNIAL LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CENTENNIAL LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210423600",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "EMILY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "112439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.kennedy@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St Ste 4000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.