Lisa Shea Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60952683 Issued in WA

Practice address

403 E Meeker St Ste 200
Kent, WA 98030-5904

Phone

(253) 852-2866

Fax

(253) 852-3102

NPI assigned

Aug 1, 2006

Last updated

Mar 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Warren Alpert Medical School of Brown University, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
• Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
• Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

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.

• Sentara Medical Group

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1265485270
  Medicare reassignment Care Compare group NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1730136367

  Family Medicine

  Medicare reassignment NPD
• Healthpoint

  dba HealthPoint Kent Medical

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454

  Family Medicine

  Medicare reassignment NPD
• Tidewater Physicians Multispecialty Group PC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1902848294
  Medicare reassignment NPD
• Community Health Center of Snohomish County

  • Federally Qualified Health Center (FQHC)
  • Everett, WA
  • NPI 1023830346
  NPD
• Healthpoint

  dba HealthPoint White Center Medical

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Tidewater Physicians Multispecialty Group PC

  • Ambulatory Surgical Clinic/Center
  • Williamsburg, VA
  • NPI 1316790512
  NPD
• Healthpoint

  dba HealthPoint Redmond Medical

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621

  Family Medicine

  NPD (past)

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

• Sentara Hospitals

  dba Sentara Virginia Beach General Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1629038336
  Care Compare affiliation
• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681
  Care Compare affiliation
• Sentara Princess Anne Hospital

  • General Acute Care Hospital
  • Virginia Beach, VA
  • NPI 1528028396
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1578570743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MEEKER ST STE 200",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305904",
            "telephone_number": "253-852-2866",
            "fax_number": "253-852-3102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Boxwood Ln",
            "address_purpose": "LOCATION",
            "city": "Pearisburg",
            "state": "VA",
            "postal_code": "241341168",
            "country_code": "US",
            "telephone_number": "540-921-6110",
            "fax_number": "540-921-3796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Glenn Mitchell Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560048",
            "country_code": "US",
            "telephone_number": "757-507-0305",
            "fax_number": "757-507-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8609 Evergreen Way",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982082619",
            "country_code": "US",
            "telephone_number": "425-382-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LISA",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039112",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60952683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTHKEEPERS #",
            "identifier": "320602",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "320601",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4107755",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5624959",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkennedy28101@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "403 E Meeker St Ste 200",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980305904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaime Jozwiak Kemery
• Katie Jeane Kemp, L.M.P.
• Elizabeth Anne Kempkes, LMP
• Jeffrey Kendall, ARNP
• Alexandra Kennedy, RAAC
• Kent Chiropractic
• Kent Chiropractic
• Kent Denture Center
• Kent Easthill Physical Therapy PS
• Kent Family Medical Clinic LLC

• Family Medicine Physician in Kent, WA
• Providers in Kent, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.