Active NPI
Stephanie Kennedy, DVM, DACVIM
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1760080014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16714
- Practice address
- 503 E Sonterra Blvd
San Antonio, TX 78258-4058 - Phone
- (210) 930-8383
- Fax
- (210) 930-8040
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 16714 | TX | Primary |
Addresses
Primary practice location
503 E Sonterra Blvd
San Antonio, TX 78258-4058
Mailing address
503 E Sonterra Blvd
San Antonio, TX 78258-4058
Phone (210) 930-8383
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16714 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1760080014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 E SONTERRA BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584058",
"telephone_number": "210-930-8383",
"fax_number": "210-930-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 E SONTERRA BLVD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584058",
"telephone_number": "210-930-8383",
"fax_number": "210-930-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "DVM, DACVIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "16714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.