Individual Healthcare Provider
Jodie Marie Kennedy
Provider's NPPES record last updated: October 12, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1205617412
- Primary Specialty
- Registered Nurse — Pediatrics
- Practice Location
- Woburn, Massachusetts
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 6:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Pediatrics
Nursing Service Providers
Definition to come...
Taxonomy code 163WP0200X Pediatrics
Developmental - Behavioral Pediatrics
Allopathic & Osteopathic Physicians
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Taxonomy code 2080P0006X
Provider-Reported License Information
- Registered Nurse (Massachusetts)
- RN260444
- Pediatrics (Massachusetts)
- RN260444
Practice Locations
Practice Location
49 Wood St
Woburn, Massachusetts 01801-3709
Phone: (617) 610-7510
Record Information
- Enumeration Date
- October 12, 2023
- Provider's NPPES Record Last Updated
- October 12, 2023
- Certification Date
- October 12, 2023
- NPISignal NPPES Dataset
- August 2026
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