Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KENNEDI ANNA ROMAN DO
NPI 1285573782
Student in an Organized Health Care Education/Training Program in Wilmington, NC

Q: What is Kennedi Roman's NPI number?

The NPI number for Kennedi Roman is 1285573782. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Q: What is Kennedi Roman'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 Kennedi Roman was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 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.

Active since March 27, 2026PECOS Enrolled

2523 DELANEY AVE, WILMINGTON, NC 28403(910) 343-1122(910) 343-1999 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Mar 27, 2026 (2 updates tracked since 2026).

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About Kennedi Anna Roman Do NPPES

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

KENNEDI ANNA ROMAN DO (NPI 1285573782) is an individual student in an organized health care education/training program in Wilmington, North Carolina, licensed in North Carolina (RTL26-0169) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285573782

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKENNEDI ANNA ROMANCredential: DO

Location Address2523 DELANEY AVEWilmington, NC 28403-6003

Mailing AddressPo Box 936857Atlanta, GA 31193-6857

Phone(910) 343-1122

Fax(910) 343-1999

Sole ProprietorNo

Enumeration DateMarch 27, 2026

Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1285573782 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

License✔ Licensed in NC · RTL26-0169

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.

2523 DELANEY AVE, Wilmington, NC 28403

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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)

Kennedi Anna Roman Do 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.

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Other Providers at the Same Location NPPES 20

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

DR. ROBERT NICHOLAS KNEAR-BELL MD

Family Medicine