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

Kennedy O'Hara

Individual provider Gerontology Nurse Practitioner · NPI 1578343711

Kennedy O'Hara is a Nurse Practitioner in Uniondale, New York. Qualified in 2023, 3 years ago. Practices with Integrated Medical Professionals PLLC, a 98-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
Specialties on file
3

Practice location Address checks out

416 Brix Pl
Uniondale, NY 11553-3079
Phone: (516) 492-1734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence F311544 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 311544 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 311544 (NY)

Record details

NPI number1578343711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2023
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integrated Medical Professionals Pllc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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