Individual provider Active NPI

Tracy Kennedy, CRNP

  • Family Nurse Practitioner
  • Lexington, VA
National Provider Identifier
1730187709
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024152917 Issued in VA
Practice address
160 Kendal Dr
Kendal at Lexington
Lexington, VA 24450-1794
Phone
(540) 464-2609
Fax
(540) 463-2756
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0024152917 VA Primary

Addresses

Primary practice location

160 Kendal Dr
Kendal at Lexington
Lexington, VA 24450-1794

Mailing address

160 Kendal Drive
Kendal at Lexington
Lexington, VA 24450-2219
Phone (540) 464-2609

Other identifiers 1

IdentifierTypeStateIssuer
00V830L78OtherVAPROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730187709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 KENDAL DRIVE",
            "address_2": "KENDAL AT LEXINGTON",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502219",
            "telephone_number": "540-464-2609",
            "fax_number": "540-463-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 KENDAL DR",
            "address_2": "KENDAL AT LEXINGTON",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501794",
            "telephone_number": "540-464-2609",
            "fax_number": "540-463-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TRACY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024152917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "00V830L78",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.