Active NPI
Elizabeth Ann Kennedy, RN
- Certified Registered Nurse Anesthetist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 901871
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4996 - Phone
- (662) 377-3000
- NPI assigned
- Jul 31, 2023
- Last updated
- Oct 4, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 901871 | MS | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4996
Mailing address
PO Box 3294
Tupelo, MS 38803-3294
Phone (662) 377-4394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clay County Medical Corporation | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| DHS Anesthesia, LLC | Current | Accepting new patients |
Locations
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321
Interoperability endpoints
- elizabethkennedy@nmhs.medalliesdirect.net
Organizations & group practices 9
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.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Clay County Med Ctr - ER Phys
- Emergency Care Clinic/Center
- West Point, MS
- NPI 1578670972
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1184147431
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
-
dba North Mississippi Retina Center West Point
- Ophthalmology Physician
- West Point, MS
- NPI 1174353247
-
dba Clay County Medical - CRNA
- Anesthesiology Physician
- West Point, MS
- NPI 1396852695
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba NMMC - CRNA Anesthesia Service
- Anesthesiology Physician
- Tupelo, MS
- NPI 1730283896
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1871274084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3294",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033294",
"telephone_number": "662-377-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014996",
"telephone_number": "662-377-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-31",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "901871",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.