Geraldine Kennedy, MS RN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

142162 Issued in MA

Practice address

271 Carew St
Mercy Medical Center
Springfield, MA 01104-2377

Phone

(413) 748-9063

Fax

(413) 748-9049

NPI assigned

Aug 18, 2005

Last updated

Jan 31, 2012By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of Springfield

  • Public Health or Welfare Agency
  • Springfield, MA
  • NPI 1992878102
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1851383434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "address_2": "MERCY MEDICAL CENTER",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9063",
            "fax_number": "413-748-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "address_2": "MERCY MEDICAL CENTER",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9063",
            "fax_number": "413-748-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "GERALDINE",
        "name_prefix": "Ms.",
        "credential": "MS RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "142162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377091",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Kempi McCarthy, BSW
• Alison Kemple, MSW
• Alesace Lauraine Kene Tagouatio
• Ashley Kennedy, PA
• Aura Kennedy, PHARMD
• John William Kennedy Jr., MD
• Zil Kennedy
• Maria Elizabeth Kenner, MD
• Cynthia Lucille Kennett-Robbins
• Gary C Kennett, LICSW

• Family Nurse Practitioner in Springfield, MA
• Providers in Springfield, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.