ANDREA MARIE KENNEDY APRN - NPI 1831321348 - Nurse Practitioner in Meridian, ID

Q: What is Andrea Kennedy's NPI number?

The NPI number for Andrea Kennedy is 1831321348. It was assigned to this individual provider in the NPPES registry on August 17, 2009.

Q: What is Andrea Kennedy'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 Andrea Kennedy was last updated on October 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Andrea Marie Kennedy Aprn NPPES

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

ANDREA MARIE KENNEDY APRN (NPI 1831321348) is an individual family provider in Meridian, Idaho, licensed in Idaho (NP-1265A) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1831321348

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANDREA MARIE KENNEDYCredential: APRN

Location Address3041 E COPPER POINT DRMeridian, ID 83642-1740

Mailing Address2036 N Cole RdBoise, ID 83704-7309 · (208) 514-4400 · Fax (208) 514-4404

Phone(208) 514-4400

Fax(208) 514-4404

Sole ProprietorNo

Enumeration DateAugust 17, 2009

Last NPPES UpdateOctober 30, 2018

✔ NPI 1831321348 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

Licenses✔ Licensed in ID · NP-1265A✔ Licensed in SC · 3971

3041 E COPPER POINT DR, Meridian, ID 83642

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Other Providers at the Same Location NPPES 6

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

TAYLOR GOLAY MS, RDN, LD

Dietitian, Registered