Jessica Ann Kennedy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011064-1 Issued in NY

Practice address

125 N Central Ave
Valley Stream, NY 11580-3822

Phone

(610) 334-4328

NPI assigned

Jun 4, 2007

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

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-County Chiropractic P C.Group PAC ID 2567354699, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri-County Chiropractic P C

  • Chiropractor
  • Pottstown, PA
  • NPI 1972605129
  Medicare reassignment Care Compare group NPD
• Tri-County Chiropractic of Exton

  • Chiropractor
  • Exton, PA
  • NPI 1376880591
  Medicare reassignment NPD
• Tricounty Chiropracticand Rehabilitation of Phoenixville PLLC

  • Chiropractor
  • Phoenixville, PA
  • NPI 1912530064
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700088598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803822",
            "telephone_number": "610-334-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N CENTRAL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803822",
            "telephone_number": "610-334-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011064-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Keleman, M.S.
• Charles Kellerman, LMSW
• Geraldine M Kelly, NURSE PRACTITIONER
• Tamisha Kelly, PMHNP
• Florence Kema-Akpala, RN
• Ruby Puneet Kesar, MD
• Khan Korh LLC
• Ali Khan
• Shafeena Khan
• Shahid Khan

• Chiropractor in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.