ALYSSA KENNEDY
NPI 1912266156
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

Active since May 09, 2012PECOS Enrolled
262 DANNY THOMAS PL, MEMPHIS, TN 38105(888) 226-4343 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Mar 12, 2018 (2 updates tracked since 2018).

About Alyssa Kennedy NPPES

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

ALYSSA KENNEDY (NPI 1912266156) is an individual pediatric hematology-oncology provider in Memphis, Tennessee, licensed in Tennessee (69568) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912266156
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameALYSSA KENNEDY
Location Address262 DANNY THOMAS PLMemphis, TN 38105-3678
Mailing Address262 Danny Thomas Pl # Ms 515Memphis, TN 38105-3678
Sole ProprietorYes
Enumeration DateMay 9, 2012
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1912266156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses Licensed in TN · 69568 Licensed in MA · 262041
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
262 DANNY THOMAS PL, Memphis, TN 38105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Kennedy 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.

Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Psychologist (Clinical)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Pathology (Anatomic Pathology & Clinical Pathology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAILSTOP 260
MEMPHIS, TN 38105
Clinical Nurse Specialist (Oncology, Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105

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 Alyssa Kennedy's NPI number?

The NPI number for Alyssa Kennedy is 1912266156. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Alyssa Kennedy located?

Alyssa Kennedy practices at 262 Danny Thomas Pl, Memphis, TN 38105. The listed phone number is (888) 226-4343.

What is Alyssa Kennedy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Alyssa Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alyssa Kennedy was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.