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EMMALEE N KENNEDY M.D.
NPI 1619940384
Internal Medicine - Hospice and Palliative Medicine in Flagstaff, AZ

Active since February 10, 2006PECOS Enrolled
1215 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 773-2200(928) 773-2300 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2021, Dec 18, 2015, Dec 1, 2015 (3 updates tracked since 2015).

About Emmalee N Kennedy M.d. NPPES

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

EMMALEE N KENNEDY M.D. (NPI 1619940384) is an individual hospice and palliative medicine provider in Flagstaff, Arizona, licensed in Arizona (33977) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619940384
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameEMMALEE N KENNEDYCredential: M.D.
Location Address1215 N BEAVER STFlagstaff, AZ 86001-3126
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 213-6235 · Fax (928) 213-6292
Phone(928) 773-2200
Fax(928) 773-2300
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 16, 20213 updates tracked since enumeration
NPPES CertifiedApril 16, 2021
✔ NPI 1619940384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in AZ · 33977
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 33977 (AZ)
Also ListedHospitalistTaxonomy 208M00000X · License 33977 (AZ)
1215 N BEAVER ST, Flagstaff, AZ 86001
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Other Identifiers 1

Medicaid186958AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emmalee N Kennedy M.d. 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.

DR. JAMES MALCOLM GALLOWAY MD
Internal Medicine
1215 N BEAVER ST, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (028) 214-3920
ANGELA HANSEN RD, IBCLC
Dietitian, Registered
1215 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2200
DR. JOHN BLANCHARD MARTIN PH.D
Psychologist (Clinical)
1215 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2200
DR. MEAGHAN ELIZABETH RALPH DPT
Physical Therapist
1215 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2125
WILLIAM DREXLER
Physical Therapist
1215 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2125
MARK F CARROLL MD
Pediatrics
1215 N BEAVER ST, SUITE 201
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3920
NICOLE RENEE SYDOW M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1215 N BEAVER ST, SUITE 203
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2150
DR. TIM BUSCHMANN
Psychologist
1215 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 213-6415

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 Emmalee Kennedy's NPI number?

The NPI number for Emmalee Kennedy is 1619940384. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Emmalee Kennedy located?

Emmalee Kennedy practices at 1215 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 773-2200.

What is Emmalee Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Emmalee Kennedy enrolled in Medicare?

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

What insurance does Emmalee Kennedy accept?

Health plans from Blue Cross Blue Shield of Arizona list Emmalee Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmalee Kennedy was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.