Rachel Gale Kennedy, NURSE PRACTITIONER

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4704285802 Issued in MI

Practice address

G3494 Beecher Rd
Flint, MI 48532-2735

Phone

(810) 309-9734

Fax

(810) 768-1171

NPI assigned

Mar 19, 2015

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rkennedy1059594@direct.hfhs.org

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.

• Ahmed a. Arif MD PC

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1518180538
  Medicare reassignment NPD

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780078576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3494 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322735",
            "telephone_number": "810-309-9734",
            "fax_number": "810-768-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3494 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322735",
            "telephone_number": "810-309-9734",
            "fax_number": "810-768-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RACHEL",
        "middle_name": "GALE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704285802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kennedy
• Charles T. Kennedy Jr., LMSW
• Kathleen Kennedy
• Linda Maxine Kennedy, RN
• Patricia Ann Kennedy, DPT
• Roberta Lee Kennedy
• Sharlene K Kennedy, N. P.
• Stacey Kennedy, PHARMD
• Rachel Evelyn Kenney, M.A.
• Venkatesh Kenni Ragavan

• Family Medicine Physician in Flint, MI
• Providers in Flint, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.