Individual provider Active NPI

Rosalyn Kenney, NP

  • Nurse Practitioner
  • Salem, NH
National Provider Identifier
1871637116
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0489282303 Issued in NH
Practice address
23 Stiles Rd
Suite 102
Salem, NH 03079-2846
Phone
(603) 386-0100
Fax
(603) 386-0076
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0489282303 NH Primary

Addresses

Primary practice location

23 Stiles Rd
Suite 102
Salem, NH 03079-2846

Mailing address

23 Stiles Rd
Suite 102
Salem, NH 03079-2846
Phone (603) 386-0100

Other identifiers 1

IdentifierTypeStateIssuer
23YP05038NH02OtherNHBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000082 NH Practitioner - Nurse Practitioner 8921035148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosalyn J Kenney Arnp PLLCGroup PAC ID 9537310107, 4 clinicians

Practice addresses (Care Compare)

32 Stiles Rd
Suite 103
Salem, NH 03079-2893
Phone (603) 386-0100

Hospital & facility affiliations

  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0489282303NHMDNurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1871637116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STILES RD",
            "address_2": "SUITE 102",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792846",
            "telephone_number": "603-386-0100",
            "fax_number": "603-386-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 STILES RD",
            "address_2": "SUITE 102",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792846",
            "telephone_number": "603-386-0100",
            "fax_number": "603-386-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ROSALYN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0489282303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "23YP05038NH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.