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JACOB KENNEDY
NPI 1376394403
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since March 28, 2024PECOS Enrolled
2401 S 31ST ST # 11AG062, TEMPLE, TX 76508(254) 724-2518 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Kennedy NPPES

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

JACOB KENNEDY (NPI 1376394403) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376394403
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB KENNEDY
Location Address2401 S 31ST ST # 11AG062Temple, TX 76508-0001
Mailing Address2401 S 31st St # 11ag062Temple, TX 76508-0001 · (254) 724-2518
Phone(254) 724-2518
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1376394403 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.

2401 S 31ST ST # 11AG062, Temple, TX 76508
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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)

Jacob Kennedy 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.

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.

ELIZABETH KATHERINE LACKEY MD
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815
DR. JOSEPH RICHARD PELLI JR. M.D.
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815
DR. BILAL LATIF MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815
DR. ALIKHAN KARIMI
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815
STEPHANIE BERG MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-2111
NATHANIEL TABOR WASSON MD
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815
OSCAR BEDOLLA MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (801) 391-1632
JOHN HENSTROM MD
Emergency Medicine
2401 S 31ST ST # 11AG062
TEMPLE, TX 76508
Bell County (254) 724-5815

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 Jacob Kennedy's NPI number?

The NPI number for Jacob Kennedy is 1376394403. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Jacob Kennedy located?

Jacob Kennedy practices at 2401 S 31st St # 11ag062, Temple, TX 76508. The listed phone number is (254) 724-2518.

What is Jacob Kennedy's specialty?

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

Is Jacob Kennedy enrolled in Medicare?

Yes. Jacob Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Kennedy was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.