Active NPI
Kristen Kenney, M.D.
- Family Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35084218-K
- Practice address
- 1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042 - Phone
- (614) 880-9333
- Fax
- (614) 880-9331
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35084218-K | OH | Primary |
Addresses
Primary practice location
1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042
Mailing address
1120 Polaris Pkwy Ste 200
Columbus, OH 43240-4042
Phone (614) 880-9333
Other practice location 1
900 Club Dr
Westerville, OH 43081-4911
Phone (614) 899-2838
Other names 1
- Kristen Carle
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristen.kenney.1@10687.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Polaris Pkwy
Columbus, OH 43240-4042
900 Club Dr
Westerville, OH 43081-4909
Phone (614) 899-2838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35084218-K | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Children'S Center for Developmental Enrichment | Past | Accepting new patients |
Locations
1120 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-9333
3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
Family Medicine
-
- Primary Care Clinic/Center
- Westerville, OH
- NPI 1942514344
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- Speech-Language Pathologist
- Westerville, OH
- NPI 1659556215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1902845647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 POLARIS PKWY STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404042",
"telephone_number": "614-880-9333",
"fax_number": "614-880-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 POLARIS PKWY STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404042",
"telephone_number": "614-880-9333",
"fax_number": "614-880-9331"
}
],
"practiceLocations": [
{
"address_1": "900 Club Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430814911",
"country_code": "US",
"telephone_number": "614-899-2838",
"fax_number": "614-899-2872",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEY",
"first_name": "KRISTEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35084218-K",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristen.kenney.1@10687.direct.athenahealth.com",
"affiliation": "N",
"address_1": "900 Club Dr",
"city": "Westerville",
"state": "OH",
"country_code": "US",
"postal_code": "430814911",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "CARLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.