Active NPI
Amy L Kenefick, FNP
- Family Nurse Practitioner
- Enfield, CT
National Provider Identifier
1942538913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 002219
- Practice address
- 76 Palomba Dr
Enfield, CT 06082-3856 - Phone
- (860) 741-2197
- Fax
- (860) 741-6824
- NPI assigned
- Dec 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | 002219 | CT | Primary |
Addresses
Primary practice location
76 Palomba Dr
Enfield, CT 06082-3856
Mailing address
345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 752-2856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002219 | CT | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1942538913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065112348",
"telephone_number": "203-752-2856",
"fax_number": "203-752-8785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 PALOMBA DR",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823856",
"telephone_number": "860-741-2197",
"fax_number": "860-741-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENEFICK",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-02",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "002219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.