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DIANE MARIE KENNEDY NP
NPI 1972013597
Nurse Practitioner - Family in Tracy, CA

Active since October 10, 2017
2185 W GRANT LINE RD, TRACY, CA 95377(209) 839-6231 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Oct 10, 2017 (2 updates tracked since 2017).

About Diane Marie Kennedy Np NPPES

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

DIANE MARIE KENNEDY NP (NPI 1972013597) is an individual family provider in Tracy, California, licensed in California (95006559) and active in the NPI registry since October 2017. She maintains a secondary practice location in Tracy.

NPPES Registry Identity

NPI1972013597
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE MARIE KENNEDYCredential: NP
Location Address2185 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address2185 W Grant Line RdTracy, CA 95377-7309
Phone(209) 839-6231
Sole ProprietorNo
Enumeration DateOctober 10, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1972013597 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 CA · 95006559
2185 W GRANT LINE RD, Tracy, CA 95377
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Secondary Practice Location 1

Location 12185 W Grant Line RdTracy, CA 95377-7309 · Phone (209) 839-6231

Other Identifiers 1

Medicaid941105628CA

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.

ELENA GALLARDO COSTA NP
Nurse Practitioner
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3300
DR. TRACY ANN GAYESKI PSY.D.
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6234
MS. MYRA MAE SIA HAYA CCC-SLP
Speech-Language Pathologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
TIMOTHY WONG LMFT
Marriage & Family Therapist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. NGOC SON DANG PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
STACY QUACH PHARMD
Pharmacist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6210
JAMES G. STEPHEN MD
Internal Medicine
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-3200
DR. DOREEN ANN SAMELSON EDD, MSCP
Psychologist
2185 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 839-6233

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 Diane Kennedy's NPI number?

The NPI number for Diane Kennedy is 1972013597. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Diane Kennedy located?

Diane Kennedy practices at 2185 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 839-6231.

What is Diane 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 Diane Kennedy was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.