MARY KENNEDY MCCARTHY (NPI# 1033775861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033775861 |
| Entity Type | Individual |
| Full Name | MARY KENNEDY MCCARTHY |
| Practice Address |
2001 Alford Park Dr Kenosha WI 53140-1927 |
| Practice Telephone | 6306246431 |
| Mailing Telephone | 6306246431 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418639 | Mary K Mccarthy | Occupational Therapist | 225 S Meramec Ave Ste 412, Saint Louis, MO 63105-3669 | 2020-02-08 |
| 1639729171 | Mary Lynette Mccarthy | Technician | 913 Sikes St, Quincy, FL 32351-4405 | 2019-09-17 |
| 1942537394 | Mary Eileen Mccarthy | Developmental Therapist | 3652 W 111th St, Chicago, IL 60655-3333 | 2009-11-05 |
| 1619101755 | Mary Genevieve Mccarthy | Nurse Practitioner | 1733 Curie Dr Ste 103, El Paso, TX 79902-2909 | 2009-05-04 |
| 1275710089 | Mary G Mccarthy | Psychologist | 2901 Bee Cave Road Box N, Austin, TX 78746-5571 | 2008-01-23 |
| 1023207206 | Mary Herrin Mccarthy | Registered Nurse | 42 Fosdick Rd, Carver, MA 02330-1322 | 2007-10-23 |
| 1073601662 | Mary A Mccarthy | Counselor | 422 S Washington St, Ste 3, Afton, WY 83110 | 2006-10-10 |
| 1639158132 | Mary Helen Mccarthy | Pediatrics | 3801 Fairfax Dr Ste 44, Arlington, VA 22203-1762 | 2006-01-12 |
| 1770573909 | Mary Kathryn Mccarthy | Psychiatry & Neurology | 1330 Beacon St., Suite 315, Roslindale, MA 02446-3202 | 2005-10-27 |
| 1609494632 | Mary Margaret Mccarthy | Dentist | 2929 41st St, Moline, IL 61265-7858 | 2020-07-07 |
| Street Address |
2001 ALFORD PARK DR |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295723849 | Laurie Anne Jensen | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1929 | 2005-10-07 |
| 1730796509 | Zachary Tavs | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-09-25 |
| 1376179101 | Dan Ruffner | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-12 |
| 1619501442 | Jacob Paul Boucher | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-03-02 |
| 1699309534 | Hannah Lyn Midlock | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1043844988 | Thomas Joseph Green IIi | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1558995407 | Emma Nicole Self | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1457985384 | Alana Rose Radley | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-02-29 |
| 1548894462 | Alexandre Lacrosse | Specialist/Technologist | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-02-29 |
| 1154988566 | Vanesa Acosta | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346504495 | Christina Marie Zhang | Student in an Organized Health Care Education/Training Program | 8015 15th Ave, Kenosha, WI 53143-6307 | 2012-07-03 |
| 1538782206 | Jonathan A Metz | Student in an Organized Health Care Education/Training Program | 8315 18th St, Kenosha, WI 53144-7106 | 2020-05-28 |
| 1619501442 | Jacob Paul Boucher | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2020-03-02 |
| 1043844988 | Thomas Joseph Green IIi | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2020-03-01 |
| 1154988566 | Vanesa Acosta | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-05-21 |
| 1285290809 | Kelsey Anne Welch | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1994 | 2019-05-20 |
| 1578129102 | Brody David Ilstrup | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-05-20 |
| 1013573633 | Madeline Claire Jerry | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-05-20 |
| 1417411620 | Tabitha Marie Long | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1927 | 2019-01-22 |
| 1619403888 | Sarah Bassett | Student in an Organized Health Care Education/Training Program | 2001 Alford Park Dr, Kenosha, WI 53140-1929 | 2017-05-10 |
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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.