KELLY LYNN KENNEDY (NPI# 1003248204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003248204 |
Entity Type | Individual |
Full Name | KELLY LYNN KENNEDY |
Credential | NP |
Practice Address |
137 W Central St Natick MA 01760-4310 |
Mailing Address |
199 Winthrop Rd Apt 33 Brookline MA 02445-4485 |
Practice Telephone | 5086552109 |
Mailing Telephone | 5189299218 |
Enumeration Date | 2013-07-30 |
Last Update Date | 2019-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2269814 | MA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841818051 | Kelly Renee Kennedy | Specialist/Technologist | 720 N Noyes Blvd, Saint Joseph, MO 64506-2813 | 2020-07-14 |
1003474784 | Kelly Kennedy | Counselor | 236 Moultrie Pl, Santa Paula, CA 93060-3241 | 2019-05-29 |
1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
1093967903 | Kelly Jean Kennedy | Physical Therapy Assistant | 1221 Corey Dr, Whitehouse, TX 75791-3731 | 2008-10-22 |
1174647689 | Kelly Kennedy | Occupational Therapist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-03-19 |
1578572269 | Kelly David Kennedy | Chiropractor | 6 East First Avenue, Runnemede, NJ 08078-1101 | 2006-08-05 |
1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
1427500701 | Kelly Kennedy | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2016-11-02 |
1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
Street Address |
137 W CENTRAL ST |
City | NATICK |
State | MA |
Zip Code | 01760-4310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033218334 | Cvs Pharmacy Inc | Pharmacy | 137 W Central St, Natick, MA 01760-4310 | 2006-09-22 |
1952956831 | Roshani Badwaik | Nurse Practitioner | 137 W Central St, Natick, MA 01760-4310 | 2019-08-07 |
1528538394 | Neima Nakhaee | Pharmacist | 137 W Central St, Natick, MA 01760-4310 | 2018-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
1366927469 | Edith Siegel Wolfson | Social Worker | 2 Stagg Drive, Natick, MA 01760 | 2018-09-25 |
1447772801 | Soraia L Pinto | Registered Nurse | 10 Alden Street, Natick, MA 01760 | 2017-07-07 |
1003336264 | Aurora Counseling Associates | Counselor | 20 Main St. Suite 202, Natick, MA 01760 | 2017-06-20 |
1548790140 | Sally Miner Heerde | Speech-Language Pathologist | 38 Fairway Circle, Natick, MA 01760 | 2017-06-15 |
1962937516 | Michaela Rice | Behavior Technician | 841 Worcester Road, 102, Natick, MA 01760 | 2017-04-20 |
1831545375 | Nadia Nina Sayess | Counselor | 17 Morgan Drive, Apt 105, Natick, MA 01760 | 2016-05-13 |
1114398468 | Ruvarashe Swiswa | Social Worker | 251 W Central St Ste 25, Natick, MA 01760 | 2015-10-13 |
1669897153 | Simon Medical Service | Durable Medical Equipment & Medical Supplies | 16 Tech Circle, Natick, MA 01760 | 2014-02-20 |
1639418965 | Cfo Retail Services, LLC | Eyewear Supplier (Equipment, not the service) | 1245 Worcester Road, Natick Mall, Natick, MA 01760 | 2013-02-06 |
Find all providers in zip 01760 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083223630 | Karen Magit | Nurse Practitioner | 6 Waterview Ln, Natick, MA 01760-5666 | 2020-07-29 |
1578181699 | Leigh Smyth | Nurse Practitioner | 9 Lanes End, Natick, MA 01760-4142 | 2020-07-07 |
1043688948 | Kathleen Heino | Nurse Practitioner | 148 Howe St, Natick, MA 01760-3031 | 2015-09-09 |
1538494786 | Susan L Neuber | Nurse Practitioner | 34 Franconia Ave, Natick, MA 01760-2722 | 2009-10-06 |
1952956831 | Roshani Badwaik | Nurse Practitioner | 137 W Central St, Natick, MA 01760-4310 | 2019-08-07 |
1427444314 | Erica Andersen | Nurse Practitioner | 67 Union St, Natick, MA 01760-7700 | 2015-04-08 |
1255422200 | Deborah Wallace Moore | Nurse Practitioner | 83 Speen St, Natick, MA 01760-4168 | 2006-09-27 |
1205948676 | Kristen Lynn Bernstein | Nurse Practitioner | 67 Union St, Suite 501, Natick, MA 01760-7700 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.