Lisa Quick Kennedy

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

314894 Issued in NC

Practice address

6781 Parker Farm Dr
Wilmington, NC 28405-3160

Phone

(910) 763-6332

Fax

(910) 763-6267

NPI assigned

May 11, 2026

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": "1778457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1780512673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 ROCK CREEK RD NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519681",
            "telephone_number": "910-815-8538",
            "fax_number": "910-763-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053160",
            "telephone_number": "910-763-6332",
            "fax_number": "910-763-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LISA",
        "middle_name": "QUICK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NC",
            "license": "314894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee Kennedy, DPT
• Breeana Cain Kennedy, LCMHC
• Kaelin Elizabeth Kennedy, LCSWA
• Katelyn Gerri Kennedy, DO
• Leeann Wilcox Kennedy, LPC
• Mary Grace Kennedy
• Samantha Elizabeth Kennedy, MA CF-SLP
• Sonia Vieregge Kennedy, MS, RD, LDN
• Kensuke Matsumoto, D.M.D., M.S., P.a.
• Tracy Baucom Kent, LPA

• Diabetes Educator Registered Nurse in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Diabetes Educator Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.