TRACY KENNEDY


Address: 160 Kendal Dr, Kendal At Lexington, Lexington, VA 24450-1794
Phone: 5404642609

TRACY KENNEDY (NPI# 1730187709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730187709
Entity Type Individual
Full Name TRACY KENNEDY
Credential CRNP
Practice Address 160 Kendal Dr
Kendal At Lexington
Lexington
VA 24450-1794
Mailing Address 160 Kendal Drive
Kendal At Lexington
Lexington
VA 24450-2219
Practice Telephone 5404642609
Practice Fax Number 5404632756
Mailing Telephone 5404642609
Mailing Fax Number 5404632756
Enumeration Date 2005-07-13
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024152917 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA PROVIDER # 00V830L78 01

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Office Location

Street Address 160 KENDAL DR
KENDAL AT LEXINGTON
City LEXINGTON
State VA
Zip Code 24450-1794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457813479 Carley Marguerite Metevier Speech-Language Pathologist 160 Kendal Dr, Lexington, VA 24450-1786 2019-04-01
1992263719 Sarah Loving Occupational Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2019-03-11
1427529775 Kaitlyn Baleigh Mangone Occupational Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2018-12-16
1366956807 Rebecca Lynn Newsome Occupational Therapist 160 Kendal Dr, Lexington, VA 24450 2017-11-20
1265856520 Erin Rebecca Plecker Occupational Therapist 160 Kendal Dr, Lexington, VA 24450-1786 2014-02-07
1215378799 Kalie Manuel Zollman Physical Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2013-07-11
1285906875 Kaitlyn Danielle Masters Occupational Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2012-01-30
1104114719 Karla Lynn Clay Speech-Language Pathologist 160 Kendal Dr, Lexington, VA 24450-1786 2011-07-16
1770897688 Amanda Carr Physical Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2010-08-03
1215165550 April Marie Goad Occupational Therapy Assistant 160 Kendal Dr, Lexington, VA 24450-1786 2009-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912561887 Molly Elizabeth Pallavicini Counselor Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 2019-04-26
1598213340 Elizabeth Larock Contractor 712 N. Main Street, Lexington, VA 24450 2016-09-21
1861872343 Dominique Boone Tarber Psychologist 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 2015-06-01
1407254147 Americare Plus, LLC. In Home Supportive Care 155 South Main Street, Lexington, VA 24450 2014-12-11
1710242219 Matthew Earle Bryant Family Medicine 146 S Main St Ste 3, Lexington, VA 24450 2012-07-10
1861778391 Marco Giuliani Specialist/Technologist 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 2011-10-28
1356668552 Chad Joseph Kelland Psychologist 129 S Randolph St Ste 1, Lexington, VA 24450 2010-04-27
1972744779 Kelly Lynne Mcmullen Specialist/Technologist 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 2009-03-09
1669621835 Rebecca Lowry Specialist/Technologist 200 Washington Ave, Lexington, VA 24450 2008-09-12
1205929114 Scott Brian Dubit Family Medicine 650 N. Lee Highway, Suite 2, Lexington, VA 24450 2006-10-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184225161 Christina Chan Sok Nurse Practitioner 24 Hartwell Ave # 204, Lexington, MA 02421-3132 2020-11-05
1871194381 Stacie Rose Nurse Practitioner 131 Hartwell Ave, Lexington, MA 02421-3105 2020-11-03
1952900870 Sarah Elizabeth Clark Nurse Practitioner 1309 Morning Side Ct, Lexington, KY 40509-2353 2020-10-21
1629677745 Lisa Elaine Coleman Nurse Practitioner 2241 Gulfstream Dr, Lexington, KY 40504-3273 2020-10-20
1578161303 Mariem Kader Nurse Practitioner 3622 White Pine Dr, Lexington, KY 40514-1740 2020-10-14
1023616125 Kimberly Dawn Calloway Nurse Practitioner 5306 E Blocher Rd, Lexington, IN 47138-8803 2020-10-12
1649878992 Margaret Bunch Nurse Practitioner 171 W Lowry Ln Ste 132, Lexington, KY 40503-3006 2020-10-09
1831701572 Jillian Leigh Butcher Nurse Practitioner 2917 Mahala Ln, Lexington, KY 40509-8555 2020-08-22
1033721154 Heart Rescue Cpr LLC Nurse Practitioner 501 Darby Creek Rd Ste 18, Lexington, KY 40509-1606 2020-08-19
1619588241 Jordyn L Bush Nurse Practitioner 124 Clay Ave, Lexington, KY 40502-1702 2020-08-17
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Competitor

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City LEXINGTON
Zip Code 24450

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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