1. Home
  2. Directory
  3. New York
  4. Smithtown
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANNON KENNEDY
NPI 1104735067
Student in an Organized Health Care Education/Training Program in Smithtown, NY

Active since September 04, 2026
11 NY-111, SMITHTOWN, NY 11787(631) 920-8050 Get Directions Write a Review

NPPES record added: September 4, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Shannon Kennedy NPPES

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

SHANNON KENNEDY (NPI 1104735067) is an individual student in an organized health care education/training program in Smithtown, New York and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104735067
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON KENNEDY
Location Address11 NY-111Smithtown, NY 11787
Mailing Address11 Route 111Smithtown, NY 11787-3754 · (631) 920-8050
Phone(631) 920-8050
Sole ProprietorNo
Enumeration DateSeptember 4, 2026
NPPES CertifiedSeptember 3, 2026
✔ NPI 1104735067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11 NY-111, Smithtown, NY 11787
Open in Google Maps ↗

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.

HEATHER LEE MANNKOPF
Case Manager/Care Coordinator
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
DEVROSE R PALMER HARRISON
Case Manager/Care Coordinator
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
MELANIE G ISLES
Social Worker (Clinical)
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 656-9550
JESSILYN SARA CIABURRI BSW CASAC-T
Student in an Organized Health Care Education/Training Program
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
SCOTT NACOVSKY JR.
Social Worker
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300
ALYSSA KNOTT
Social Worker (Clinical)
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (646) 842-9352
OISIN VINCENT KEENAN
Case Manager/Care Coordinator
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8399
ERIC WILLS
Case Manager/Care Coordinator
11 NY-111
SMITHTOWN, NY 11787
Suffolk County (631) 920-8300

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 Shannon Kennedy's NPI number?

The NPI number for Shannon Kennedy is 1104735067. It was assigned to this individual provider in the NPPES registry on September 4, 2026.

Where is Shannon Kennedy located?

Shannon Kennedy practices at 11 Ny-111, Smithtown, NY 11787. The listed phone number is (631) 920-8050.

What is Shannon Kennedy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Kennedy was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.