REBECCA KENNEDY MD
NPI 1255919429
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Rebecca Kennedy's NPI number?

The NPI number for Rebecca Kennedy is 1255919429. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Rebecca Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rebecca Kennedy was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2021PECOS Enrolled

750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-3100 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rebecca Kennedy Md NPPES

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

REBECCA KENNEDY MD (NPI 1255919429) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255919429

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameREBECCA KENNEDYCredential: MD

Location Address750 E ADAMS STSyracuse, NY 13210-2306

Mailing Address750 E Adams StSyracuse, NY 13210-2306 · (315) 464-3100

Phone(315) 464-3100

Sole ProprietorYes

Enumeration DateMarch 30, 2021

NPPES CertifiedMarch 30, 2021

✔ NPI 1255919429 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.

750 E ADAMS ST, Syracuse, NY 13210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Kennedy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.