Active NPI
Sharon Lee Kenny, BSW, LMT
- Specialist
- Stuart, FL
National Provider Identifier
1811094964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 5360
- Practice address
- 611 SW Federal Hwy
Suite C2B
Stuart, FL 34994-2925 - Phone
- (772) 221-1080
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 5360 | FL | Primary |
Addresses
Primary practice location
611 SW Federal Hwy
Suite C2B
Stuart, FL 34994-2925
Mailing address
PO Box 1676
Stuart, FL 34995-1676
Phone (772) 221-1080
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 |
|---|---|---|---|
| MA 5360 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811094964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1676",
"city": "STUART",
"state": "FL",
"postal_code": "349951676",
"telephone_number": "772-221-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 SW FEDERAL HWY",
"address_2": "SUITE C2B",
"city": "STUART",
"state": "FL",
"postal_code": "349942925",
"telephone_number": "772-221-1080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNY",
"first_name": "SHARON",
"middle_name": "LEE",
"credential": "BSW, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 5360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.