Active NPI
Karen Lynn Kennedy, RN, NNP-BC
- Nurse Practitioner
- Urbana, IL
National Provider Identifier
1891928156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209002032
- Practice address
- 611 W. Park St.
Neonatology
Urbana, IL 61801-2500 - Phone
- (217) 383-3266
- Fax
- (217) 383-3463
- NPI assigned
- Sep 2, 2009
- 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 |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 28066208A | IN | |
| Nurse Practitioner | 363L00000X | 209002032 | IL | Primary |
Addresses
Primary practice location
611 W. Park St.
Neonatology
Urbana, IL 61801-2500
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28066208A | IN | MD | Neonatal Intensive Care Registered Nurse |
| 209002032 | IL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1891928156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "NEONATOLOGY",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-3266",
"fax_number": "217-383-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Miss",
"credential": "RN, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-02",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0002X",
"taxonomy_group": "",
"desc": "Registered Nurse, Neonatal Intensive Care",
"state": "IN",
"license": "28066208A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209002032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.