Active NPI
Jacqueline F Kennedy, FNP
- Family Nurse Practitioner
- Whately, MA
National Provider Identifier
1609877653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 169562
- Practice address
- 181 State Rd
Whately, MA 01093 - Phone
- (413) 665-0176
- Fax
- (413) 665-0176
- NPI assigned
- Aug 2, 2005
- Last updated
- Sep 11, 2025
- 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 | 169562 | MA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 169562 | MA |
Addresses
Primary practice location
181 State Rd
Whately, MA 01093
Mailing address
P.O. Box 205
Whately, MA 01093
Phone (413) 665-0176
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0380890 | Medicaid | MA | |
| 9709444 | Medicaid | MA |
Other names 1
- Ms. Jacqueline F Kennedy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Care of Massachusetts LLC | Past | Accepting new patients | |
| Whately Health Center | Family | Past | Accepting new patients |
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.
-
- Nurse Practitioner
- Hatfield, MA
- NPI 1043424856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1609877653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 205",
"city": "WHATELY",
"state": "MA",
"postal_code": "01093",
"telephone_number": "413-665-0176",
"fax_number": "413-397-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 STATE RD",
"city": "WHATELY",
"state": "MA",
"postal_code": "01093",
"telephone_number": "413-665-0176",
"fax_number": "413-665-0176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JACQUELINE",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "169562",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "169562",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0380890",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9709444",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "KENNEDY",
"middle_name": "F",
"prefix": "MS.",
"credential": "FNP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Whately, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.