MRS. KATHLEEN DACUK ROSE KENNEDY CNP
NPI 1396754362
Nurse Practitioner in Lynchburg, VA

Q: What is Kathleen Kennedy's NPI number?

The NPI number for Kathleen Kennedy is 1396754362. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Kathleen Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Kennedy was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 07, 2006PECOS Enrolled

1701 THOMSON DR, LYNCHBURG, VA 24501(434) 200-4010(434) 200-7400 Get Directions Write a Review

NPPES record last updated: January 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kathleen Dacuk Rose Kennedy Cnp NPPES

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

MRS. KATHLEEN DACUK ROSE KENNEDY CNP (NPI 1396754362) is an individual nurse practitioner in Lynchburg, Virginia, licensed in Virginia (0024096751) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396754362

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KATHLEEN DACUK ROSE KENNEDYCredential: CNP

Location Address1701 THOMSON DRLynchburg, VA 24501-1118

Mailing AddressPo Box 3017Lynchburg, VA 24503-0017 · (434) 200-4010 · Fax (434) 200-7400

Phone(434) 200-4010

Fax(434) 200-7400

Sole ProprietorNo

Enumeration DateAugust 7, 2006

Last NPPES UpdateJanuary 26, 2016

✔ NPI 1396754362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 0024096751

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001096751 (VA)

1701 THOMSON DR, Lynchburg, VA 24501

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Other Identifiers 1

Medicaid7782951VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Dacuk Rose Kennedy Cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. NATALIE OLSON ENOCH MSN, APRN

Nurse Practitioner

1701 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 200-5925

CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1701 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 200-6262

DR. MICHAEL JAMES O'NEILL M.D.

Radiology (Radiation Oncology)

1701 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 200-4010

MRS. CECILIA MARIBEE MACCALLUM M.D.

Specialist

1701 THOMSON DR, SUITE 200
LYNCHBURG, VA 24501

Campbell County (434) 200-5925

DR. ROBERT NELSON HEADLEY JR. M.D.

Specialist

1701 THOMSON DR, SUITE 200
LYNCHBURG, VA 24501

Campbell County (434) 200-5925

DR. EMACULATE VERLA TEBIT M.D.

Internal Medicine (Hematology & Oncology)

1701 THOMSON DR, SUITE 200
LYNCHBURG, VA 24501

Campbell County (434) 200-5295

DR. JOHN LEACH MACNEILL JR. M.D.

Internal Medicine (Medical Oncology)

1701 THOMSON DR, SUITE 200
LYNCHBURG, VA 24501

Campbell County (434) 200-5925

KARA LAMB

Nurse Practitioner

1701 THOMSON DR
LYNCHBURG, VA 24501

Campbell County (434) 401-9021

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 Kathleen Kennedy's NPI number?

The NPI number for Kathleen Kennedy is 1396754362. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Kathleen Kennedy located?

Kathleen Kennedy practices at 1701 Thomson Dr, Lynchburg, VA 24501. The listed phone number is (434) 200-4010.

What is Kathleen Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathleen Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Kennedy was last updated on January 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.