What is Deric Kennedy's NPI number?

Deric Kennedy's National Provider Identifier (NPI) is 1649031196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Deric Kennedy's specialty?

Deric Kennedy is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Deric Kennedy located?

Deric Kennedy's practice location on file with NPPES is 2630 Homecoming Ln, Waldorf, MD 20603-5313.

What is Deric Kennedy's phone number?

The practice phone number listed in the NPPES registry for Deric Kennedy is (240) 412-4041.

Is Deric Kennedy's NPI active?

Yes — Deric Kennedy's NPI (1649031196) is active in the NPPES registry as of the last update on 2024-01-22.

IndividualActive

Deric Kennedy

NPI 1649031196 · Case Manager/Care Coordinator · Waldorf, MD

Deric Kennedy is a Case Manager/Care Coordinator provider in Waldorf, MD (NPI 1649031196).

Provider details

NPI number: 1649031196
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

2630 Homecoming Ln

Waldorf, MD 20603-5313

Phone: (240) 412-4041

Street-level locationGet directions

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Mailing address