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

Mrs. Amanda Lauren Kennedy, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1063937696

Mrs. Amanda Lauren Kennedy, AGACNP-BC is a Nurse Practitioner in Blue Ash, Ohio. Qualified in 2017, 9 years ago. Practices with Ny Long-Term Care Physician Services, PC, a 4-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

11690 Grooms Rd
Blue Ash, OH 45242-1412
Phone: (513) 917-9697
Show map & directions

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

Additional practice locations (10)

  • 3434 Oh-132, Amelia, OH 45102 — (513) 917-9697
  • 230 Cherry St, Chillicothe, OH 45601-2301 — (513) 917-9697
  • 2250 Banning Rd, Cincinnati, OH 45239-6608 — (513) 917-9697
  • 7300 McEwen Rd, Dayton, OH 45459-3903 — (513) 917-9697
  • 425 Lauricella Ct, Englewood, OH 45322 — (513) 917-9697
  • 4960 Old U.S. 35, Jamestown, OH 45335 — (513) 917-9697
  • 700 Monroe Rd, Lebanon, OH 45036-1409 — (513) 917-9697
  • 3000 McGee Ave, Middletown, OH 45044-4991 — (513) 917-9697
  • 12745 Elm Corner Rd, Williamsburg, OH 45176-9621 — (513) 917-9697
  • 126 Wilson Dr, Xenia, OH 45385-1848 — (513) 917-9697

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.021254 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.391672 (OH)

Record details

NPI number1063937696
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ny Long-Term Care Physician Services, Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Blue Ash