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

Mrs. Theresa K Kennon, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1962523530

Mrs. Theresa K Kennon, FNP-BC is a Nurse Practitioner in Anchorage, Alaska. Qualified in 2019, 7 years ago. Practices with Southcentral Foundation, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
7
Licensed in
AK
In the registry since
2007
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4330 Elmore Rd
Anchorage, AK 99508-5907
Phone: (907) 729-6690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 W 7th Ave Fl 18, Anchorage, AK 99501-3571 — (907) 111-1111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 162389 (AK)

Record details

NPI number1962523530
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southcentral Foundation — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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