Active NPI
Brenda Sue Kennedy, LPN
- Licensed Practical Nurse
- Centerburg, OH
National Provider Identifier
1841265030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 164W00000X
- Practice address
- 7050 County Road 201
Centerburg, OH 43011-9646 - Phone
- (740) 625-6825
- NPI assigned
- Feb 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 164W00000X | OH | Primary |
Addresses
Primary practice location
7050 County Road 201
Centerburg, OH 43011-9646
Mailing address
7677 Columbus Rd
Mount Vernon, OH 43050-9325
Phone (740) 397-2406
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2309657 | Other | OH | PROVIDER |
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 |
|---|---|---|---|
| 164W00000X | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1841265030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 COLUMBUS RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430509325",
"telephone_number": "740-397-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7050 COUNTY ROAD 201",
"city": "CENTERBURG",
"state": "OH",
"postal_code": "430119646",
"telephone_number": "740-625-6825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "BRENDA",
"middle_name": "SUE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "164W00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "2309657",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Centerburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.