Jeanette Nicole Kennedy, DNP, APRN-NP,FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1108575 Issued in TX

Practice address

9717 Hickory Knob Dr
Ft Worth, TX 76108-1461

Phone

(402) 515-9735

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, TX, NV, VA, NY, MO, MD, DC, NM, AZ, IN11 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 11

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkennedy20500@carelonhealth.direct-ci.com

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.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Arcy Healthcare, LLC

  dba Arcy Supportive Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flower Mound, TX
  • NPI 1902434210
  Medicare reassignment
• Carelon Medical Partners of Texas PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1508267535
  Medicare reassignment
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  AZ, DC, IN, MO, NM, NV, OH, VA

  Medicare reassignment
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1609042928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9717 HICKORY KNOB DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761081461",
            "telephone_number": "402-515-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9717 HICKORY KNOB DR",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761081461",
            "telephone_number": "402-515-9735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5444 Westheimer Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565318",
            "country_code": "US",
            "telephone_number": "830-433-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JEANETTE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN-NP,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A159555",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "113215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024010751",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1108575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teneisha Kennard, LMSW
• Amanda Dawn Kennedy, DNP, PMHNP
• Dana Joy Kennedy, CPNP
• Devan Kennedy, LCSW
• Jason Matthew Kennedy, M.D.
• Leekelli Kennedy, RD LD
• Paul A Kennedy III, MD
• Shane W Kennedy, MD
• Siobhan Kennedy
• Kirsten Renee Kennemer, AU.D.

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.