Active NPI
Jeanette Eleanor Kennedy, RN, MS, CNS
- Pediatric Clinical Nurse Specialist
- Palo Alto, CA
National Provider Identifier
1831491034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Clinical Nurse Specialist
- License
- 1040
- Practice address
- 730 Welch Rd
Pediaric Rheumatology
Palo Alto, CA 94304-1503 - Phone
- (650) 723-8295
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Care Clinical Nurse Specialist | 364SC2300X | 1040 | CA | |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 1040 | CA | Primary |
Addresses
Primary practice location
730 Welch Rd
Pediaric Rheumatology
Palo Alto, CA 94304-1503
Mailing address
700 Welch Rd
Peds Rheum Suite 301
Palo Alto, CA 94304-1502
Phone (650) 723-8295
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
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040 | CA | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Past | Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1831491034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WELCH RD",
"address_2": "PEDS RHEUM SUITE 301",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041502",
"telephone_number": "650-723-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 WELCH RD",
"address_2": "PEDIARIC RHEUMATOLOGY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041503",
"telephone_number": "650-723-8295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JEANETTE",
"middle_name": "ELEANOR",
"name_prefix": "Ms.",
"credential": "RN, MS, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "364SC2300X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Chronic Care",
"state": "CA",
"license": "1040",
"primary": false
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "CA",
"license": "1040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.