Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna Ruth Kennedy

Individual provider Family Nurse Practitioner · NPI 1871031708

Joanna Ruth Kennedy is a Nurse Practitioner in Midvale, Utah. Qualified in 2016, 10 years ago. Practices with Erlanger Health, a 503-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
10
Licensed in
UT
In the registry since
2017
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Practice location Address checks out

602 E Fort Union Blvd
Midvale, UT 84047-2216
Phone: (801) 313-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 73008658900 (UT)

Record details

NPI number1871031708
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2017
Last updated in NPPESFebruary 12, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Erlanger Health — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midvale