Suzie Jean Kennedy, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10283723 Issued in NY

Practice address

497 Hawkins Rd
Selden, NY 11784-1941

Phone

(631) 346-9758

NPI assigned

Jan 5, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1780129395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 HAWKINS RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841941",
            "telephone_number": "631-346-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 HAWKINS RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117841941",
            "telephone_number": "631-346-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SUZIE",
        "middle_name": "JEAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10283723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalini Kathuria
• Phani Jaya Sree Kaza, PT
• Keith J Pennetti P.T., PC
• Kalli Rose Kelley, RN
• Sarah Kelly, L.M.T.
• Daniele J Kenny, MD
• Laraib Khan, PT, DPT
• Kids Care Pediatrics
• Mukul H Kinariwalla, R.PH
• King Kullen Pharmacies Corp

• Licensed Practical Nurse in Selden, NY
• Providers in Selden, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.