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LAURA LISBETH KENNEDY RN, FNP-BC
NPI 1760938161
Nurse Practitioner - Family in Reston, VA

Active since August 27, 2016
12040 S LAKES DR, RESTON, VA 20191(703) 464-0686 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Laura Lisbeth Kennedy Rn, Fnp-bc NPPES

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

LAURA LISBETH KENNEDY RN, FNP-BC (NPI 1760938161) is an individual family provider in Reston, Virginia, licensed in Virginia (0024173863) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1760938161
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAURA LISBETH KENNEDYCredential: RN, FNP-BC
Location Address12040 S LAKES DRReston, VA 20191-1246
Mailing Address12040 S Lakes DrReston, VA 20191-1246 · (703) 464-0686
Phone(703) 464-0686
Sole ProprietorNo
Enumeration DateAugust 27, 2016
Last NPPES UpdateApril 4, 2018
✔ NPI 1760938161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024173863
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001232629 (VA)
12040 S LAKES DR, Reston, VA 20191
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Other Names 1

Former Name (1)Laura Ida Lisbeth Fnp-bc

Other Providers at the Same Location NPPES 12

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

GENERATIONS FAMILY MEDICINE PC
Family Medicine
12040 S LAKES DR, STE 190
RESTON, VA 20191
Fairfax County (703) 464-0686
DR. JOHN P MAMANA M.D.
Internal Medicine
12040 S LAKES DR, SUITE 205
RESTON, VA 20191
Fairfax County (703) 230-6990
EHS CORPORATE CARE
Internal Medicine
12040 S LAKES DR, SUITE 205
RESTON, VA 20191
Fairfax County (703) 230-6990
MR. MARK EMANUEL VASILIADIS M.D.
Family Medicine
12040 S LAKES DR, SUITE 195
RESTON, VA 20191
Fairfax County (703) 230-0347
DR. KEVIN J KELLEHER MD
Family Medicine
12040 S LAKES DR, STE 207
RESTON, VA 20191
Fairfax County (703) 464-0686
EXECUTIVE HEALTHCARE SERVICES PLLC
Family Medicine
12040 S LAKES DR, SUITE 195
RESTON, VA 20191
Fairfax County (703) 230-0347
DEANNA LYNN MARKLEY PA
Physician Assistant (Medical)
12040 S LAKES DR, SUITE 207
RESTON, VA 20191
Fairfax County (703) 464-0686
ARAMESH DARVISHIAN DDS
Dentist
12040 S LAKES DR, SUITE 200
RESTON, VA 20191
Fairfax County (703) 955-4440

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 Laura Kennedy's NPI number?

The NPI number for Laura Kennedy is 1760938161. It was assigned to this individual provider in the NPPES registry on August 27, 2016. The provider is also known as Laura Ida Lisbeth Fnp-Bc.

Where is Laura Kennedy located?

Laura Kennedy practices at 12040 S Lakes Dr, Reston, VA 20191. The listed phone number is (703) 464-0686.

What is Laura Kennedy'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 Laura Kennedy was last updated on April 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.