1. Home
  2. Directory
  3. New York
  4. Port Jefferson
  5. Nurse Practitioner
  6. NPI Profile

NANCY KENNEDY
NPI 1982785960
Nurse Practitioner in Port Jefferson, NY

Active since October 18, 2006
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320(631) 476-4279 Get Directions Write a Review

NPPES record last updated: October 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nancy Kennedy NPPES

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

NANCY KENNEDY (NPI 1982785960) is an individual nurse practitioner in Port Jefferson, New York, licensed in New York (F302544) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1982785960
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY KENNEDY
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address625 Belle Terre Rd, Suite 100Port Jefferson, NY 11777-2316 · (631) 473-1320 · Fax (631) 476-4279
Phone(631) 473-1320
Fax(631) 476-4279
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateOctober 22, 2015
✔ NPI 1982785960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · F302544
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
75 N COUNTRY RD, Port Jefferson, NY 11777
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP16476NY
Medicare ID-Type Unspecified96N981NY

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.

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

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 Nancy Kennedy's NPI number?

The NPI number for Nancy Kennedy is 1982785960. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Nancy Kennedy located?

Nancy Kennedy practices at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is Nancy Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Nancy Kennedy was last updated on October 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.