Active NPI
Jennifer Mensik Kennedy, RN
- Registered Nurse
- Eugene, OR
National Provider Identifier
1629794730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 201707286RN
- Practice address
- 27651 Gibralter Loop
Eugene, OR 97405-9737 - Phone
- (602) 695-0063
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201707286RN | OR | Primary |
Addresses
Primary practice location
27651 Gibralter Loop
Eugene, OR 97405-9737
Mailing address
27651 Gibralter Loop
Eugene, OR 97405-9737
Phone (602) 695-0063
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mensik@ohsu.edu | ||
| Direct Messaging Address | mensik@ohsu.edu | Other | OHSU |
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201707286RN | OR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1629794730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27651 GIBRALTER LOOP",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059737",
"telephone_number": "602-695-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27651 GIBRALTER LOOP",
"city": "EUGENE",
"state": "OR",
"postal_code": "974059737",
"telephone_number": "602-695-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENSIK KENNEDY",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "201707286RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mensik@ohsu.edu",
"affiliation": "N",
"address_1": "27651 Gibralter Loop",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "974059737",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mensik@ohsu.edu",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "OHSU",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "mensik@ohsu.edu",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mensik@ohsu.edu",
"address_1": "27651 Gibralter Loop",
"city": "Eugene",
"state": "OR",
"country_code": "US",
"postal_code": "97405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.