Active NPI
Danielle Alicia Kilkenny, M.ED., B.S.
- Contractor
- Titusville, FL
National Provider Identifier
1629891999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 5650 S Washington Ave
Titusville, FL 32780-7312 - Phone
- (321) 383-5594
- NPI assigned
- Nov 5, 2024
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
5650 S Washington Ave
Titusville, FL 32780-7312
Mailing address
4589 Camberly St
Cocoa, FL 32927-7961
Phone (321) 594-1764
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
- Bachelor of Science, Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1629891999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4589 CAMBERLY ST",
"city": "COCOA",
"state": "FL",
"postal_code": "329277961",
"telephone_number": "321-594-1764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327807312",
"telephone_number": "321-383-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILKENNY",
"first_name": "DANIELLE",
"middle_name": "ALICIA",
"credential": "M.ED., B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.