Wren T Kennedy, RN/NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

59810 Issued in TN

Practice address

1 University of New Mexico
Msc10 5590
Albuquerque, NM 87131-0001

Phone

(505) 272-1745

Fax

(505) 272-8699

NPI assigned

Dec 23, 2005

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 1

Other names 1

• Mrs. Frances Wren Kennedy Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1689651358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "address_2": "MSC10 5590",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-1745",
            "fax_number": "505-272-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY OF NEW MEXICO",
            "address_2": "MSC10 5590",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-1745",
            "fax_number": "505-272-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "WREN",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "RN/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "59810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3349537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "KENNEDY",
            "middle_name": "WREN",
            "prefix": "MRS.",
            "credential": "RN/.NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kylee Dawn Kennedy, MS CF-SLP
• Melissa Howell Kennedy, M.D.
• Rachel Kennedy
• Shelly Kennedy
• Stacy Dawn Kennedy
• Kenneth H Bull MD PA
• Kenneth P. Adams, D.O.,P.C
• Kenneth P. Goldblum, M.D., LTD.
• Michael Kenney, SLP
• Karen Kennicott, MD

• Pediatric Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatric Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.