Tatiana Marie Kennedy

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

524 S 9TH Ave
Caldwell, ID 83605-5075

Phone

(208) 454-8555

NPI assigned

Aug 25, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756598400000",
    "number": "1922986199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W IVYWILD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837064514",
            "telephone_number": "602-552-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S 9TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055075",
            "telephone_number": "208-454-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TATIANA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-31",
        "certification_date": "2025-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline K Kavila, PHARMD
• Ke Therapy PLLC
• Christopher Ryan Keller, MD
• Melody Keller, ND
• Merle L. Keller III, MD
• Colt Kennington
• Randon Kessinger
• Keven Freeman DMD PLLC
• Kevin Cotter Odpa
• Mark Keylor, LMSW

• Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.