Active NPI
Dawna Marie Kennedy, N.P.
- Family Nurse Practitioner
- Crescent Springs, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3005749
- Practice address
- 606 Buttermilk Pike
Crescent Springs, KY 41017-1302 - Phone
- (859) 663-1442
- Fax
- (859) 344-0062
- NPI assigned
- Oct 2, 2008
- Last updated
- Apr 29, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-10242 | OH | |
| Family Nurse Practitioner | 363LF0000X | 3005749 | KY | Primary |
Addresses
Primary practice location
606 Buttermilk Pike
Crescent Springs, KY 41017-1302
Mailing address
1577 Goodman Ave # a
Cincinnati, OH 45224-1044
Phone (513) 242-0695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4605 Montgomery Rd
Cincinnati, OH 45212-2607
Phone (513) 853-9700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3005749 | KY | MD | Family Nurse Practitioner |
| NP-10242 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth U LLC | Current | Accepting new patients | |
| Nephrology and Hypertension | Past | Accepting new patients |
Locations
4605 Montgomery Rd
Norwood, OH 45212
Phone (513) 731-0062
12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700
Interoperability endpoints
- dkennedy303835@direct.trihealth.com
Organizations & group practices 2
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.
-
dba TriHealth at Walgreens
- Community Health Clinic/Center
- Cincinnati, OH
- NPI 1528605177
-
- Nephrology Physician
- Cincinnati, OH
- NPI 1891724191
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1578714010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1577 GOODMAN AVE # A",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452241044",
"telephone_number": "513-242-0695",
"fax_number": "513-791-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 BUTTERMILK PIKE",
"city": "CRESCENT SPRINGS",
"state": "KY",
"postal_code": "410171302",
"telephone_number": "859-663-1442",
"fax_number": "859-344-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "DAWNA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-10242",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3005749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent Springs, KY
- Heritage Dental Center - Crescent Springs LLC
- Hope Behavioral Health, LLC
- Nine-Keng Monica Hsu, ND
- Ivx Health of Kentucky, PLLC (IVX Health)
- Anne Kellogg, PHARMD
- Kentucky Dental Professionals PSC (Buttermilk Family and Cosmetic Dentistry)
- Kentucky Rehabilitation Services Inc (NovaCare Rehabilitation)
- Caroline Virginia Ketron
- Lauren Korba, PHARM.D
- Joseph Christopher Kues, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.