Individual provider Active NPI

Amara Morris Kenneh

  • Private Vehicle
  • Charlotte, NC
National Provider Identifier
1679144919
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Practice address
5932 Fairmarket PL Apt E
Charlotte, NC 28215-2465
Phone
(704) 965-0505
NPI assigned
Jul 7, 2021
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X NC Primary

Addresses

Primary practice location

5932 Fairmarket PL Apt E
Charlotte, NC 28215-2465

Mailing address

5932 Fairmarket PL Apt E
Charlotte, NC 28215-2465
Phone (704) 965-0505

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

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1679144919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5932 FAIRMARKET PL APT E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152465",
            "telephone_number": "704-965-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5932 FAIRMARKET PL APT E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152465",
            "telephone_number": "704-965-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEH",
        "first_name": "AMARA",
        "middle_name": "MORRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.