Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Lisa Shea Kennedy, M.D.

Family Medicine Physician in Kent, WA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578570743

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Registry record

Entity type Individual (Type 1)

Name Dr. Lisa Shea Kennedy

Credential M.D.

Sex Female

Practice address 403 E Meeker St Ste 200, Kent, WA, 98030

Phone (253) 852-2866

Fax (253) 852-3102

Enumeration date Aug 1, 2006

Last updated in NPPES Mar 6, 2025

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101039112 (VA) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD60952683 (WA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
320602	Other	VA	ANTHEM HEALTHKEEPERS #
320601	Other	VA	ANTHEM PROVIDER #
4107755	Other	VA	AETNA PROVIDER #
5624959	Medicaid	VA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Lisa Kennedy?

Lisa Kennedy is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Other providers at this practice address

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Joann Dechant Naturopath · Kent, WA NPI 1861493868 Ellen Degrasse Pharmacist · Kent, WA NPI 1992707996 Christina Lindell Pediatrics Physician · Kent, WA NPI 1295815074 Thomas Harper Family Medicine Physician · Kent, WA NPI 1518027549 Ellen Solis Advanced Practice Midwife · Kent, WA NPI 1447454194 Jinny Kim Family Medicine Physician · Kent, WA NPI 1063669604 Sara Baird Family Medicine Physician · Kent, WA NPI 1457671547 Shagufta Jabeen Family Medicine Physician · Kent, WA NPI 1649570631

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-06.