Individual provider Active NPI

Joanne M. Kennedy, RNC-FNP

  • Family Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1972757987
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MA140947 Issued in MA
Practice address
10 Hospital Dr
Suite 305
Holyoke, MA 01040-6643
Phone
(413) 533-2452
Fax
(413) 533-3624
NPI assigned
Nov 5, 2008
Last updated
May 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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 MA140947 MA Primary

Addresses

Primary practice location

10 Hospital Dr
Suite 305
Holyoke, MA 01040-6643

Mailing address

260 New Ludlow Rd
Western Mass Physician Assoc., Inc
Chicopee, MA 01020-4324
Phone (413) 533-2452

Other identifiers 1

IdentifierTypeStateIssuer
110094998AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130204000211 MA Practitioner - Nurse Practitioner 9133373970 Reassigns benefits to 1 organization
I20180702001823 CT Practitioner - Nurse Practitioner 9133373970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverbend Medical Group IncGroup PAC ID 5698064343, 227 clinicians

Practice addresses (Care Compare)

1515 Allen St
Springfield, MA 01118-1803
Phone (413) 783-9114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7504CTMDSocial Worker
MA140947MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2018 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince May 1, 2018 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Oct 23, 2023 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Oct 23, 2023 Accepting new patients
Mwa,PC Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients
Kevin Snow D.O., LLC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

140 Hazard Ave
Ste 105
Enfield, CT 06082
Phone (860) 272-2930

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2 Concorde Way
Bldg 2
Windsor Locks, CT 06096
Phone (860) 242-8756

1515 Allen St
Springfield, MA 01118
Phone (413) 782-0030

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

305 Bicentennial Hwy
Springfield, MA 01118
Phone (413) 733-4101

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.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1972757987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 NEW LUDLOW RD",
            "address_2": "WESTERN MASS PHYSICIAN ASSOC., INC",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204324",
            "telephone_number": "413-533-2452",
            "fax_number": "413-533-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "SUITE 305",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406643",
            "telephone_number": "413-533-2452",
            "fax_number": "413-533-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOANNE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RNC-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "MA140947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110094998A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.