Ryan John Kennedy, DNP, FNP-C, PMHS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5022420 Issued in NC

Practice address

257 Church St NE
Concord, NC 28025-4763

Phone

(980) 263-9791

Fax

(408) 413-0405

NPI assigned

Jan 22, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Thomas E. Brown, PHD, Psychology, P.C.

  • Clinical Psychologist
  • Manhattan Beach, CA
  • NPI 1174141907

  Family

  NPD (past) Authorized official
• Evolution Counseling Associates

  • Counselor
  • Concord, NC
  • NPI 1255930947
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1700394970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE STE 300",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662494",
            "telephone_number": "310-844-6619",
            "fax_number": "408-413-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 CHURCH ST NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254763",
            "telephone_number": "980-263-9791",
            "fax_number": "408-413-0405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Rosecrans Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662494",
            "country_code": "US",
            "telephone_number": "131-084-4661",
            "fax_number": "408-413-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008337",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008337",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5022420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Aylene Kennedy, M. A.
• Leighton Margaret Kennedy, D.M.D.
• Lydia Scarlet Kennedy
• Megan Kennedy, ED.S, M.ED, NCC
• Robeert Alan Kennedy
• Richard C. Kennerly, PH.D.
• Shannon Marie Kenny
• Matthew Raymond Kern, MA, LPC-A
• India Kerns
• Kerr Drug Inc

• Psychiatric/Mental Health Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.