Individual provider Active NPI

Amy Lynne Kennedy, APRN

  • Family Nurse Practitioner
  • Concord, NH
National Provider Identifier
1922467216
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
061131-23 Issued in NH
Practice address
10 Ferry St
Suite 201
Concord, NH 03301-5022
Phone
(603) 369-4530
Fax
(603) 673-6300
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 061131-23 NH Primary

Addresses

Primary practice location

10 Ferry St
Suite 201
Concord, NH 03301-5022

Mailing address

10 Ferry St
Suite 201
Concord, NH 03301-5022
Phone (603) 369-4530

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
I20160914000388 NH Practitioner - Nurse Practitioner 3678869898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Derry Medical Center, PAGroup PAC ID 5294711768, 98 clinicians

Practice addresses (Care Compare)

282 Route 101
Amherst, NH 03031-1706
Phone (603) 249-8883

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Elliot Hospital Hospital, Manchester, NH, CCN 300012
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wright & Associates Family Healthcare, PLLC Family CurrentSince Feb 1, 2020 Accepting new patients
Derry Medical Center, PA CurrentSince Feb 1, 2020 Accepting new patients

Locations

282 State Route 101
#910
Amherst, NH 03031
Phone (603) 249-8883

160 S River Rd
Bedford, NH 03110
Phone (603) 668-3509

10 Ferry St
Ste 201
Concord, NH 03301
Phone (603) 369-4530

14B Tsienneto Rd
Derry, NH 03038
Phone (603) 537-1317

14 Tsienneto Rd
Bldg B
Derry, NH 03038

6 Tsienneto Rd
Ste 100
Derry, NH 03038

6 Buttrick Rd
Ste 102
Londonderry, NH 03053
Phone (603) 537-1308

Interoperability endpoints

  • Direct secure messaging: amytewksbury@wafhpllc.allscriptsdirect.net

Organizations & group practices 2

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1922467216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FERRY ST",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015022",
            "telephone_number": "603-369-4530",
            "fax_number": "603-673-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FERRY ST",
            "address_2": "SUITE 201",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015022",
            "telephone_number": "603-369-4530",
            "fax_number": "603-673-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "061131-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.