Active NPI
Jeneca Kennedy
- Licensed Practical Nurse
- Eastpointe, MI
National Provider Identifier
1992671028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 4703126163
- Practice address
- 23013 Almond Ave
Eastpointe, MI 48021-1904 - Phone
- (210) 845-9332
- NPI assigned
- Oct 15, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703126163 | MI | Primary |
Addresses
Primary practice location
23013 Almond Ave
Eastpointe, MI 48021-1904
Mailing address
23013 Almond Ave
Eastpointe, MI 48021-1904
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 |
|---|---|---|---|
| 4703126163 | MI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1992671028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23013 ALMOND AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480211904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23013 ALMOND AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480211904",
"telephone_number": "210-845-9332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JENECA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703126163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.