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

Mrs. Kathryn Ann Kennedy, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1780020750

Mrs. Kathryn Ann Kennedy, NURSEPRACTITIONER is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2013, 13 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1400 N Ritter Ave Ste 520
Indianapolis, IN 46219-3052
Phone: (317) 355-1234
Fax: (317) 355-1505
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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 71004438A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28168118A (IN)

Record details

NPI number1780020750
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 17, 2013
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Indianapolis