Pamela Genise Kennedy, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

692174 Issued in TX

Practice address

4228 N Central Expy Ste 210
Dallas, TX 75206-6556

Phone

(214) 366-4600

Fax

(214) 366-4603

NPI assigned

Apr 14, 2021

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkennedy195566@direct-guthrie.org

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.

• Kennedy Legel, DPM, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1457785412
  Medicare reassignment NPD

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1912588708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 N CENTRAL EXPY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066556",
            "telephone_number": "214-366-4600",
            "fax_number": "214-366-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PAMELA",
        "middle_name": "GENISE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "692174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Kennedy
• Julie Dee Kennedy, DNP, FNP-C
• Julie Elizabeth Kennedy, MD
• Laura Kennedy, NP-C
• Malarie V Kennedy
• Patrick Brian Kennedy, M.S., LPC
• Ryan O Kennedy, M.D.
• Sarah Anne Kennedy, DO
• Shacoda Kennedy
• Zachary A Kennedy, MD

• Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.