Laurie Kennedy-Malone, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5007683 Issued in NC

Practice address

1208 Eastchester Dr
Suite 107
High Point, NC 27265-3170

Phone

(336) 802-2588

NPI assigned

Jun 17, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lorraine Marie Malone Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1710368469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2536",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 EASTCHESTER DR",
            "address_2": "SUITE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653170",
            "telephone_number": "336-802-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-MALONE",
        "first_name": "LAURIE",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5007683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "MALONE",
            "middle_name": "MARIE",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mark Andrew Kelley, LPC
• Jaina Kelly
• Samuel S. Kelly, MD
• Kellys Home Health & Staffing
• Batina Perez Kendrick, RN
• Andriena Kennedy
• Solianny Desouza Kennerly, M.D.
• Kenny Clinic of Chiropractic PA
• Kenny Clinic of Chiropractic, P.a. (Kenny Wellness Clinic)
• Dean Richard Kenny, DC

• Gerontology Nurse Practitioner in High Point, NC
• Providers in High Point, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.