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Deactivated NPI 1144454315 Deactivated / Inactive NPI Female Practitioner

Farah Kennedy , LPN

Licensed Practical Nurse • Central Islip, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Farah Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2009
NPI Deactivation Date February 18, 2022
Total Practice Duration ~13 Years of Practice (2009 – 2022)

Professional Overview & Biography Verified Profile Summary

Farah Kennedy, LPN was a registered Licensed Practical Nurse practicing in Central Islip, NY. Throughout an active medical career spanning 13 years, Farah Kennedy provided care at the practice location at 67 WOODLAND AVE until profile deactivation on 2022-02-18.

Practice Location & Contact Primary Location

Practice Address

67 Woodland Ave

Central Islip, NY 11722

Telephone 6314063409

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Central Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
113 Specialists

Practicing in Central Islip, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 263581

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 18, 2022

Record deactivated on February 18, 2022

NPI Profile Active February 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2016

Registered at 67 WOODLAND AVE, CENTRAL ISLIP, NY 11722 (Tel: 6314063409)

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Updated Business Mailing Address February 02, 2016

Registered at 67 WOODLAND AVE, CENTRAL ISLIP, NY 117223316 (Tel: 6314063409)

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Provider Name / Credentials Updated February 02, 2016

Recorded as FARAH KENNEDY, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2016

Licensed Practical Nurse (License #263581 in NY)

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Initial NPI Registration & Enumeration May 04, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144454315
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2009
Last Update: February 02, 2016
Deactivation Date: February 18, 2022

Mailing Address

67 Woodland Ave

Central Islip, NY 117223316

Phone: 6314063409

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.