Dina Kennedy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008886 Issued in PA

Practice address

1562 Duxbury CT
Allentown, PA 18104-1943

Phone

(201) 638-1321

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dina Anne Baurkot Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1659829307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 DUXBURY CT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041943",
            "telephone_number": "201-638-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 DUXBURY CT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041943",
            "telephone_number": "201-638-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "235200000X",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "SL008886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "BAURKOT",
            "middle_name": "ANNE",
            "credential": "MS-CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tricia Kelly, MD
• Tatyana Kemarskaya, M.D.
• Crystal Marie Kemmerer, CRNP
• Nichole Kemmerer, LPC
• Daniel Emilio Kennedy-Schwed, M.D.
• Jessica Kennedy, PA-C
• Kenney Dental, PC
• Justin Paul Kenney, DMD
• Timothy Lane Kent, D.M.D.
• Aliya S Kenyatta, LSW

• Speech-Language Pathologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.