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

Kennedy Ugbodu

Individual provider Family Nurse Practitioner · NPI 1891449856

Kennedy Ugbodu is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2020, 6 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2022
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Practice location Address checks out

39 V St NE
Washington, DC 20002-1329
Phone: (551) 295-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2012 Tea Island Ct, Odenton, MD 21113-4001 — (301) 219-4800
  • 962 Wayne Ave Ste 250, Silver Spring, MD 20910-4433 — (551) 295-8223

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R163225 (MD)

Record details

NPI number1891449856
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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