Active NPIIndividual provider

Leslie M Kennedy, NP-C

Nurse Practitioner, Family in Central Falls, Rhode Island

NPI Number1114400256
Practice location
1000 Broad St, Central Falls, RI 02863-1507
Fax
—
Last updated
April 13, 2026

Leslie Marie Kennedy is a Nurse Practitioner, Family based in Central Falls, RI. Leslie Marie Kennedy practices in Central Falls, RI and has the professional credentials of NP-C. The NPI Number for Leslie Marie Kennedy is 1114400256 and holds a License No. APRN04983 (RI). The current practice location address for Leslie Marie Kennedy is 1000 Broad St, Central Falls, RI 02863-1507 and can be reached out via phone at 401-722-0081.

Provider Profile Details

NPI Number
1114400256
Provider Name
Leslie Marie Kennedy
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1000 Broad St, Central Falls, RI 02863-1507
Phone Number
401-722-0081
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Leslie Marie Theisen (Other Name)
Provider Enumeration Date
September 14, 2018
Last Update Date
April 13, 2026
Certification Date
April 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1000 Broad St
Central Falls, RI 02863-1507
Zip
02863-1507
Phone Number
401-722-0081
Central Falls, RI 02863Get directions →

Provider Business Mailing Address Details

Address
39 East Ave
Pawtucket, RI 02860-4003
City
Pawtucket
State
RI
Zip
02860-4003
Phone Number
401-312-5247

License Information

License Number (1)
APRN04983
License State (1)
RI
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
APN0997082NP
License State (2)
CO
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
209018394
License State (3)
IL
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X
License Number (4)
4704347248
License State (4)
MI
Taxonomy (4)
Nurse Practitioner, Family · 363LF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Leslie M Kennedy, NP-C?

The NPI number of Leslie M Kennedy, NP-C is 1114400256. It was assigned on September 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Leslie M Kennedy, NP-C?

Leslie M Kennedy, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number APRN04983.

Where does Leslie M Kennedy, NP-C practice?

The practice location is 1000 Broad St, Central Falls, RI 02863-1507. The office can be reached at 401-722-0081 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114400256 directly on the NPPES registry website.

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