IndividualActive
Secret Kennedy
NPI 1396675286 · Licensed Practical Nurse · Watertown, NY
Secret Kennedy is a Licensed Practical Nurse provider in Watertown, NY (NPI 1396675286).
Provider details
- NPI number
- 1396675286
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 354217 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 State St
Watertown, NY 13601-2839
Phone: (315) 755-1251
Fax: (315) 291-6601
Street-level locationGet directions
Mailing address
324 County Route 51 Bldg 1
Malone, NY 12953-4502
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Frequently asked questions
- What is Secret Kennedy's NPI number?
- Secret Kennedy's National Provider Identifier (NPI) is 1396675286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Secret Kennedy's specialty?
- Secret Kennedy is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Secret Kennedy located?
- Secret Kennedy's practice location on file with NPPES is 650 State St, Watertown, NY 13601-2839.
- What is Secret Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Secret Kennedy is (315) 755-1251.
- Is Secret Kennedy's NPI active?
- Yes — Secret Kennedy's NPI (1396675286) is active in the NPPES registry as of the last update on 2026-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.