Barbara C. Kennedy, M.S., R.D., L.D.N.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN001470 Issued in PA

Practice address

640 Madison Ave
Scranton, PA 18510-1631

Phone

(570) 961-5550

Fax

(570) 961-3844

NPI assigned

Aug 5, 2013

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

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maternal & Family Health Services Inc

  • Clinic/Center
  • Scranton, PA
  • NPI 1740669530
  NPD (past)
• Northeastern Rehabilitation Associates, PC

  • Physical Medicine & Rehabilitation Physician
  • Scranton, PA
  • NPI 1104878412
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1992137616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PUBLIC SQUARE, SUITE 600",
            "address_2": "MFHS INC",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "187011702",
            "telephone_number": "570-826-1777",
            "fax_number": "570-823-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101631",
            "telephone_number": "570-961-5550",
            "fax_number": "570-961-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "BARBARA",
        "middle_name": "C.",
        "credential": "M.S., R.D., L.D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN001470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462460005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462460007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420040",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420044",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019462460006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420041",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007678420042",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sue Kelly, PA-C
• Lindsey Connors Kelly, OD
• Michael Kenderes, M.D.
• Rebecca Ann Kenderes, PA-C
• Lataviana Divine Kendricks
• Brigid Elizabeth Kennedy, PA-C
• Kenneth H. Rudolph, M.D.
• Brandi Elizabeth Kenney, PA-C
• Kristen Kepp, CRNP
• Alexa Ann Kerecman, CRNP

• Registered Dietitian in Scranton, PA
• Providers in Scranton, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.