DR. RYAN JOHN KENNEDY DNP, FNP-C, PMHS
NPI 1700394970
Nurse Practitioner - Psychiatric/Mental Health in Concord, NC

Active since January 22, 2018
257 CHURCH ST NE, CONCORD, NC 28025(980) 263-9791(408) 413-0405 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2026, Dec 9, 2025 (2 updates tracked since 2025).

About Dr. Ryan John Kennedy Dnp, Fnp-c, Pmhs NPPES

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

DR. RYAN JOHN KENNEDY DNP, FNP-C, PMHS (NPI 1700394970) is an individual psychiatric/mental health provider in Concord, North Carolina, licensed in North Carolina (5022420) and active in the NPI registry since January 2018. He maintains a secondary practice location in Manhattan Beach.

NPPES Registry Identity

NPI1700394970
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDR. RYAN JOHN KENNEDYCredential: DNP, FNP-C, PMHS
Location Address257 CHURCH ST NEConcord, NC 28025-4763
Mailing Address1230 Rosecrans Ave Ste 300Manhattan Beach, CA 90266-2494 · (310) 844-6619 · Fax (408) 413-0405
Fax(408) 413-0405
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1700394970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NC · 5022420 Licensed in CA · 95008337
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5022420 (NC), 95008337 (CA)
257 CHURCH ST NE, Concord, NC 28025

Secondary Practice Location 1

Location 11230 Rosecrans Ave Ste 300Manhattan Beach, CA 90266-2494 · Phone (131) 084-4661 · Fax (408) 413-0405

Accepted Insurance

Other Providers at the Same Location NPPES 17

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

Massage Therapist
257 CHURCH ST NE
CONCORD, NC 28025
Counselor
257 CHURCH ST NE
CONCORD, NC 28025
Massage Therapist
257 CHURCH ST NE
CONCORD, NC 28025
Social Worker (Clinical)
257 CHURCH ST NE
CONCORD, NC 28025
Social Worker (Clinical)
257 CHURCH ST NE
CONCORD, NC 28025
Counselor (Mental Health)
257 CHURCH ST NE
CONCORD, NC 28025
Counselor
257 CHURCH ST NE
CONCORD, NC 28025
Counselor (Mental Health)
257 CHURCH ST NE
CONCORD, NC 28025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700394970, enumerated as an "individual" on January 22, 2018.

The provider is located at 257 CHURCH ST NE CONCORD, NC 28025 and the phone number is (980) 263-9791.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.