Adrienne Kennedy, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

605 Mena St
Mena, AR 71953-3339

Phone

(501) 470-3500

Fax

(501) 470-3502

NPI assigned

Nov 9, 2022

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1821706797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533339",
            "telephone_number": "501-470-3500",
            "fax_number": "501-470-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533339",
            "telephone_number": "501-470-3500",
            "fax_number": "501-470-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ADRIENNE",
        "credential": "SLPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin L. Johnson, PTA
• Jeffrey A. Jones, P.A.
• Lindy Kaye Jumper, APRN
• Alicia Kathleen Kalinowsky, PHARMD
• Kolton Kelly
• Tracy Ann Kennedy, LPC
• Jennifer Kesterson, APRN
• Holly Elizabeth Key, COTA/L
• Antoine Michael Khalaf Jr., D.O.
• Philip KHNG, D.D.S., M.S.

• All providers in Mena, AR
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.