Active NPI
Pamela Ann Kennedy
- Family Nurse Practitioner
- West Palm Beach, FL
National Provider Identifier
1982806162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3308262
- Practice address
- 7305 N. Military Trail
Education Service
West Palm Beach, FL 33410 - Phone
- (561) 422-8374
- Fax
- (561) 422-8257
- NPI assigned
- Jun 1, 2007
- 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 | 3308262 | FL | Primary |
Addresses
Primary practice location
7305 N. Military Trail
Education Service
West Palm Beach, FL 33410
Mailing address
7305 N. Military Trail
Education Service
West Palm Beach, FL 33410
Phone (561) 422-8374
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3308262 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982806162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7305 N. MILITARY TRAIL",
"address_2": "EDUCATION SERVICE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-422-8374",
"fax_number": "561-422-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7305 N. MILITARY TRAIL",
"address_2": "EDUCATION SERVICE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "33410",
"telephone_number": "561-422-8374",
"fax_number": "561-422-8257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "PAMELA",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "3308262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.