Thaise Kennedy

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

4703123257 Issued in MI

Practice address

42590 Stepnitz Dr
Clinton Township, MI 48036-3161

Phone

(586) 954-1838

NPI assigned

Aug 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1982580957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 TWIN OAKS DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143159",
            "telephone_number": "586-339-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42590 STEPNITZ DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363161",
            "telephone_number": "586-954-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "THAISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "MI",
            "license": "4703123257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Kenaan
• Robert Douglas Kenewell, D.O.
• Ashle Renee Kenley
• Amy Marie Kennedy, OTR
• Robert William Kennedy, MSW
• Madison Maxine Kenrick, DO
• Nadia Fatima Kent, NP
• Amy Louise Kenzie, LBSW
• Alan Joseph Ker, DDS
• Tammy Jean Kerchkof, MA, LBSW

• Licensed Vocational Nurse in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Licensed Vocational Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.