Rebecca Marie Kennedy, HAS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS5093 Issued in FL

Practice address

3409 Cleveland Heights Blvd
Lakeland, FL 33803-4807

Phone

(863) 646-6663

Fax

(863) 709-9065

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Osborne Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1982007233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 PROSPECT AVENUE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32814",
            "fax_number": "407-286-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CLEVELAND HEIGHTS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034807",
            "telephone_number": "863-646-6663",
            "fax_number": "863-709-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "HAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AST366",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "OSBORNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Holer Kelso, DMD
• Melissa Marie Kemple, CRNA
• Shantele Louise Kempvanee, DO
• Erica Kendrick, COTA/L
• James Kennedy Jr.
• Robert Kennedy
• Shelby Kennedy, PSYD
• Susan Emily Kennedy
• Kenneth L. Mundy D.D.S., P.a.
• Katera Kennon

• Hearing Instrument Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.