Envision is proud and delighted to announce that Sandra Kennedy, ARNP, has joined our team! Sandra believes in taking the time to listen, understand, and respect patients' concerns and goals.


Sandra has been working in the Puget Sound Area as a nurse practitioner for the last 23 years. She worked closely with Dr. James Buttitta in his nursing home practice, previous  to joining our team. Sandra attended the University of Washington and holds a dual certification in adult and geriatric care. She is also a specialist in foot care.


Sandra is a long-time resident of Washington State. Sandra and her husband enjoy spending time with their sons, grandchildren and extended family in the Pacific Northwest. Sandra is also an avid dog lover.

James Buttitta, M.D.

Physician Services Provided in Your Home

Frequently Asked Questions

Meet Your Providers

Sandra Kennedy, ARNP

Where will the doctor visit me?

Nurse Practitioners and Physicians will provide care in the convenience and comfort of your home


Do I have to give up my current doctor?

No, you can see our staff when you need them and retain your current doctor.


Can my Envision Physician Services doctor also be my primary care physician?

Yes, if you would like them to be.


Will I be able to get lab work and X-rays done in my home?

Yes, most lab work and X-rays can be conducted in your home as well.


What insurance is accepted?

We accept Medicare and a wide array of other insurance plans.


Will this cost more than a normal office visit to my current doctor?

Visits provided through Envision Physician Services are offered at the same cost as a traditional office visit.


How do I get in touch with doctors who provide Physician Services?

You can contact your doctor by calling 844.500.1338


Will these doctors be able to respond to urgent needs?

Yes. Envision Physician Services provides urgent care, primary care, and gerontology.



Dr. James Buttitta graduated from Seattle University. He is board certified in internal medicine and has extensive experience in geriatric medicine and rehabilitation. A second generation professional, Dr. Buttitta has remained a medical leader in South King County throughout his career. He lives in the area with his wife and children. Dr. Buttitta looks forward to providing you excellent medical care in the comfort of your home

Envision Physician Services strives to offer the best medical care to patients in your community. Envision has committed to build a world-class primary and urgent care service with all the provisions for clinical excellence, delivered in your home instead of a doctor's office. We send our nurse practitioner or physician to your residence for appointments. You can schedule a time to get your physician services in your home.