Individual provider Active NPI

Joy J Kenny, FNP, APRN-BC

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1689788440
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04642 Issued in LA
Practice address
1850 N Highway 190
Covington, LA 70433-5157
Phone
(985) 809-1515
NPI assigned
Aug 18, 2006
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP04642 LA Primary

Addresses

Primary practice location

1850 N Highway 190
Covington, LA 70433-5157

Mailing address

739 Rue Bourdeaux
Covington, LA 70433-8191
Phone (504) 343-9746

Other identifiers 1

IdentifierTypeStateIssuer
1527866MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000721 LA Practitioner - Nurse Practitioner 0840397972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP04642LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Van Meter Emergency Physicians Inc. Apmc CurrentSince Feb 19, 2013 Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1689788440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 RUE BOURDEAUX",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338191",
            "telephone_number": "504-343-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335157",
            "telephone_number": "985-809-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "JOY",
        "middle_name": "J",
        "credential": "FNP, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.