Sheila Z. Kennedy, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP00001065 Issued in WA

Legal business name

SHEILA Z. KENNEDY, D.O.

Practice address

820 Harvey Rd
Ste E
Auburn, WA 98002-4247

Phone

(253) 939-1066

Fax

(253) 939-1069

NPI assigned

Apr 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sheila Z Kennedy, D.O.NPI 1083618409

Title

President

Phone

(253) 939-1066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Auburn Osteopathic Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila Z Kennedy, D.O.

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1083618409
  Medicare reassignment NPD Authorized official
• Joy Alene Kirkpatrick, MFT

  • Mental Health Counselor
  • Auburn, WA
  • NPI 1487778700
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1831362938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HARVEY RD",
            "address_2": "STE E",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024247",
            "telephone_number": "253-939-1066",
            "fax_number": "253-939-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HARVEY RD",
            "address_2": "STE E",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024247",
            "telephone_number": "253-939-1066",
            "fax_number": "253-939-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA Z. KENNEDY, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-939-1066",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "193400000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Osteopathic Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajshree B Shah, MD
• Martha Jane Shanahan, RD, CD
• Kaitlyn Marie Sharp
• Shaun S. Lee D.D.S
• Shannon Elizabeth Shaw, COTA/L
• Elizabeth Shepherd, M.A.
• Kate Sherman
• Saraya Sherwood, RBT
• Yoko Shibata, PH.D
• Andrew Thomas Shields, MD

• Family Medicine Physician in Auburn, WA
• Providers in Auburn, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.