Individual provider Active NPI

Kathryn L Kennedy, MD

  • Gynecologic Oncology Physician
  • Lincoln, NE
National Provider Identifier
1932562725
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
36743 Issued in NE
Practice address
4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone
(402) 420-7000
Fax
(402) 420-6969
NPI assigned
Mar 30, 2016
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD471266 PA
Gynecologic Oncology Physician 207VX0201X E-16730 AR
Gynecologic Oncology Physician 207VX0201X 36743 NE Primary

Addresses

Primary practice location

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587

Mailing address

4101 Tiger Lily Rd Ste 100
Lincoln, NE 68516-5587
Phone (402) 420-7000

Other identifiers 1

IdentifierTypeStateIssuer
1037925170001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@sncc.oncoemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230728000097 AR Practitioner - Obstetrics/Gynecology 9234421868 Reassigns benefits to 1 organization
I20250411001553 NE Practitioner - Gynecological Oncology 9234421868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Massachusetts Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Partners of Nebraska PCGroup PAC ID 9436148426, 30 clinicians

Practice addresses (Care Compare)

4101 Tiger Lily Rd
Suite 100
Lincoln, NE 68516-5587
Phone (402) 420-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Melanoma (skin cancer) excision1-10
Removal of the uterus31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-16730ARMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Partners of Nebraska PC CurrentSince Mar 17, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Sep 1, 2023 Accepting new patients
Cancer Partners of Nebraska PC CurrentSince Mar 17, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Sep 1, 2023 Accepting new patients
GYN Oncology Group of the University of Rochester Gynecologic Oncology PastSince Jun 1, 2023 Accepting new patients
Little Rock Hematology Oncology Past Accepting new patients
University of Rochester PastSince Jun 1, 2023 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone (501) 224-5454

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

4101 Tiger Lily Rd
Ste 100
Lincoln, NE 68516
Phone (402) 420-7000

Interoperability endpoints

  • Direct secure messaging: admin@sncc.oncoemrdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1932562725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TIGER LILY RD STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165587",
            "telephone_number": "402-420-7000",
            "fax_number": "402-420-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD471266",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AR",
            "license": "E-16730",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NE",
            "license": "36743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1037925170001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@sncc.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "4101 Tiger Lily Rd Ste 100",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685165587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.