Registry record
- NPI
- 1528415767
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 2020 W St Hwy 114, Suite 120
Grapevine, TX 76051 - Phone
- 8179128300
- In the registry since
- May 18, 2016
- Last NPPES update
- December 4, 2025
- Sole proprietor
- No
- License
- P9256 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Justin Kennedy is 1528415767. They are a Physician Assistant in Grapevine, Texas.
Justin Kennedy is one of 60 Physician Assistants in Grapevine and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 10 years, since May 18, 2016.
Frequently asked questions
What is NPI 1528415767?
NPI 1528415767 is the 10-digit National Provider Identifier assigned to Justin Kennedy, a Physician Assistant practicing in Grapevine, Texas. The record has been in the NPPES registry since May 18, 2016.
How do I verify this provider?
Cross-check NPI 1528415767 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license P9256 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as December 4, 2025. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.