MRS. KENNEDY MARIE CASSIDY APRN
NPI 1629745534
Nurse Practitioner - Family in Oviedo, FL

Q: What is Kennedy Cassidy's NPI number?

The NPI number for Kennedy Cassidy is 1629745534. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Kennedy Marie Krakar Rn.

Q: What is Kennedy Cassidy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Cassidy was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 27, 2021

1016 KELLY CREEK CIR, OVIEDO, FL 32765(407) 761-5561 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kennedy Marie Cassidy Aprn NPPES

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

MRS. KENNEDY MARIE CASSIDY APRN (NPI 1629745534) is an individual family provider in Oviedo, Florida, licensed in Florida (11014372) and active in the NPI registry since August 2021. She maintains a secondary practice location in Winter Springs.

NPPES Registry Identity

NPI1629745534

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KENNEDY MARIE CASSIDYCredential: APRN

Location Address1016 KELLY CREEK CIROviedo, FL 32765-5702

Mailing Address1016 Kelly Creek CirOviedo, FL 32765-5702 · (407) 761-5561

Phone(407) 761-5561

Sole ProprietorYes

Enumeration DateAugust 27, 2021

NPPES CertifiedAugust 27, 2021

✔ NPI 1629745534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11014372

1016 KELLY CREEK CIR, Oviedo, FL 32765

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Other Names 1

Former Name (1)Kennedy Marie Krakar Rn

Secondary Practice Location 1

Location 11340 Tuskawilla Rd Ste 113Winter Springs, FL 32708-5030 · Phone (407) 331-4777

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 Kennedy Cassidy's NPI number?

The NPI number for Kennedy Cassidy is 1629745534. It was assigned to this individual provider in the NPPES registry on August 27, 2021. The provider is also known as Kennedy Marie Krakar Rn.

Where is Kennedy Cassidy located?

Kennedy Cassidy practices at 1016 Kelly Creek Cir, Oviedo, FL 32765. The listed phone number is (407) 761-5561.

What is Kennedy Cassidy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kennedy Cassidy was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.