Active NPI
Allison Valerie Kenney, PA-C, OTR
- Physician Assistant
- Lima, OH
National Provider Identifier
1649633454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 830 W High St Ste 360
Lima, OH 45801-3985 - Phone
- (248) 613-9791
- NPI assigned
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
830 W High St Ste 360
Lima, OH 45801-3985
Mailing address
2130 Riverhill Rd
Columbus, OH 43221-1236
Phone (248) 613-9791
Other practice location 1
7395 W Eastman Pl
Lakewood, CO 80227-5006
Phone (303) 730-8000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- akenney1657393@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1649633454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 RIVERHILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432211236",
"telephone_number": "248-613-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W HIGH ST STE 360",
"city": "LIMA",
"state": "OH",
"postal_code": "458013985",
"telephone_number": "248-613-9791"
}
],
"practiceLocations": [
{
"address_1": "7395 W Eastman Pl",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802275006",
"country_code": "US",
"telephone_number": "303-730-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEY",
"first_name": "ALLISON",
"middle_name": "VALERIE",
"credential": "PA-C, OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-30",
"last_updated": "2023-02-15",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.