KENNEDY GARRETT
NPI 1083486435
Physician Assistant - Medical in Folsom, CA
About Kennedy Garrett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY GARRETT (NPI 1083486435) is an individual medical provider in Folsom, California, licensed in California (PA64125) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennedy Garrett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kennedy Garrett's NPI number?
The NPI number for Kennedy Garrett is 1083486435. It was assigned to this individual provider in the NPPES registry on October 27, 2023.
Where is Kennedy Garrett located?
Kennedy Garrett practices at 1641 Creekside Dr Ste 201, Folsom, CA 95630. The listed phone number is (916) 983-3069.
What is Kennedy Garrett's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kennedy Garrett enrolled in Medicare?
Yes. Kennedy Garrett is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kennedy Garrett was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kennedy Garrett · NPI 1083486435
Medical physician in Folsom, California. Individual provider, active in the CMS NPPES registry since October 27, 2023.
## Identity
- **NPI:** 1083486435 (Entity type: Individual)
- **Enumerated:** October 27, 2023
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA64125 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1641 CREEKSIDE DR STE 201, Folsom, CA 95630-3831
- **Phone:** (916) 983-3069
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083486435) · Data from the CMS NPPES public registry.