Active NPI
Lillie Mae Kennedy
- Blind Rehabilitation Specialist/Technologist
- Washington, DC
National Provider Identifier
1841398971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blind Rehabilitation Specialist/Technologist
- Practice address
- 50 Irving St NW
Washington, DC 20422-0001 - Phone
- (202) 745-8621
- Fax
- (202) 745-8629
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 27, 2008
- 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 |
|---|---|---|---|---|
| Blind Rehabilitation Specialist/Technologist | 2255R0406X | NU | Primary |
Addresses
Primary practice location
50 Irving St NW
Washington, DC 20422-0001
Mailing address
10400 Meadowridge LN
Mitchellville, MD 20721-2854
Phone (301) 459-8314
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
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": "1214524800000",
"number": "1841398971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10400 MEADOWRIDGE LN",
"city": "MITCHELLVILLE",
"state": "MD",
"postal_code": "207212854",
"telephone_number": "301-459-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "204220001",
"telephone_number": "202-745-8621",
"fax_number": "202-745-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "LILLIE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255R0406X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Rehabilitation, Blind",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.