Patricia Marie Kenney, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

57903 Issued in SC

Practice address

4531 Hard Scrabble Rd
Columbia, SC 29229-8561

Phone

(803) 419-8700

Fax

(803) 965-6760

NPI assigned

Sep 20, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

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.

• Midlands Physical Medicine LLC

  • General Practice Physician
  • Columbia, SC
  • NPI 1356626196
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1679824460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BERRY TREE LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237447",
            "telephone_number": "803-790-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 HARD SCRABBLE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298561",
            "telephone_number": "803-419-8700",
            "fax_number": "803-965-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "57903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette M Kennedy, EDD, LPC
• Kennedy'S Assistive Living & Educational Facility
• Kennedy'S Assistive Living and Educational Facilty
• Allison Diane Kenney, LISW-CP
• Manya Jean Kenney, PT
• Alorrah Kennison
• Haegan Kent
• Meghan Leslie Keogh, CCC-SLP
• Kasey Keown
• Jamie Morgan Kerkvliet

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.