Patricia T Kennedy, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

633673103 Issued in LA

Practice address

1800 Buckner St
Suite C120
Shreveport, LA 71101-4440

Phone

(318) 227-8899

Fax

(318) 222-0407

NPI assigned

Sep 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

88.02 of 100Reported as group

Quality

66.64

Promoting interoperability

100

Improvement activities

40

Cost

70.28

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northwest Louisiana Nephrology, LLC

  • Nephrology Physician
  • Shreveport, LA
  • NPI 1669416491
  NPD
• WK North Pulmonary & Critical Care

  • Critical Care Medicine (Internal Medicine) Physician
  • Shreveport, LA
  • NPI 1265529648
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1972599116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUCKNER ST",
            "address_2": "SUITE C120",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014440",
            "telephone_number": "318-227-8899",
            "fax_number": "318-222-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PATRICIA",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "633673103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564567",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Kay Kennedy, MD
• Lashonda R Kennedy
• Lori Toloso Kennedy, EDDA
• Madison Kennedy, PLPC
• Paige Kennedy
• Robert Craig Kennedy, LPC
• Sherry Kennedy, RN
• Kenneth Sanders MD PLLC
• Kenneth W Sanders PLLC
• Kenneth W. Sanders, MD and Willis-Knighton Medical Center

• Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.