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ANDRA R KENNEDY PA
NPI 1083674097
Physician Assistant in Johnston, IA

Active since March 24, 2006
5900 NW 86TH ST, SUITE 100, JOHNSTON, IA 50131(515) 276-6133(515) 334-7356 Get Directions Write a Review

NPPES record last updated: October 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andra R Kennedy Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRA R KENNEDY PA (NPI 1083674097) is an individual physician assistant in Johnston, Iowa, licensed in Iowa (648) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083674097
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDRA R KENNEDYCredential: PA
Location Address5900 NW 86TH ST, SUITE 100Johnston, IA 50131-2284
Mailing Address5900 Nw 86th St, Suite 100Johnston, IA 50131-2284 · (515) 276-6133 · Fax (515) 334-7356
Phone(515) 276-6133
Fax(515) 334-7356
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 16, 2007
✔ NPI 1083674097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 648
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5900 NW 86TH ST, Johnston, IA 50131
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Other Identifiers 1

Medicare UPINS65641IA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
5900 NW 86TH ST, SUITE 200
JOHNSTON, IA 50131
Polk County (515) 278-8151
SCOTT R MEYER MD
Family Medicine
5900 NW 86TH ST, STE 100
JOHNSTON, IA 50131
Polk County (515) 276-6133
MRS. MEGAN ELIZABETH SCHOOLEY PT, MSPT
Physical Therapist
5900 NW 86TH ST, STE. 200
JOHNSTON, IA 50131
Polk County (515) 278-8151
CENTRAL IOWA HOSPITAL CORPORATION
Family Medicine
5900 NW 86TH ST, STE 100
JOHNSTON, IA 50131
Polk County (515) 276-6133
DR. JOEL PHILIP VANDER MEIDE D.O.
Family Medicine
5900 NW 86TH ST, STE 100
JOHNSTON, IA 50131
Polk County (515) 276-6133
DR. ALEXANDRA VANDER MEIDE MD
Family Medicine
5900 NW 86TH ST, STE 100
JOHNSTON, IA 50131
Polk County (515) 276-6133
ASHLEY PHELPS PT, DPT
Physical Therapist
5900 NW 86TH ST, SUITE 200
JOHNSTON, IA 50131
Polk County (515) 278-8151
MRS. KATRINA BLAINE MORELAND PT
Physical Therapist
5900 NW 86TH ST, SUITE 200
JOHNSTON, IA 50131
Polk County (515) 278-8151

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 Andra Kennedy's NPI number?

The NPI number for Andra Kennedy is 1083674097. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Andra Kennedy located?

Andra Kennedy practices at 5900 NW 86th St Suite 100, Johnston, IA 50131. The listed phone number is (515) 276-6133.

What is Andra Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Andra Kennedy was last updated on October 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.