MS. SALLY JEAN KENNEDY (NPI# 1043293103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043293103 |
| Entity Type | Individual |
| Full Name | MS. SALLY JEAN KENNEDY |
| Credential | NP |
| Practice Address |
1898 E Southern Ave Tempe AZ 85282-5836 |
| Mailing Address |
2322 S. Rogers #54 Mesa AZ 85202-6561 |
| Practice Telephone | 4808380068 |
| Practice Fax Number | 4808383409 |
| Mailing Telephone | 4808207957 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN-39547 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN-39547 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259372 | Sally Elizabeth Kennedy | Driver | 5894 S Shandle Blvd, Mentor, OH 44060-1972 | 2020-09-15 |
| 1225302029 | Sally Ann Kennedy | Psychologist | 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 | 2012-02-27 |
| 1841661360 | Sally Kennedy | Nurse Anesthetist, Certified Registered | 2307 Parkland Way, Norman, OK 73069-6536 | 2015-10-09 |
| 1275712374 | Sally I Kennedy | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2007-10-25 |
| Street Address |
1898 E SOUTHERN AVE |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-5836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003888546 | Steven Alex Baldwin | Internal Medicine | 1898 E Southern Ave, Tempe, AZ 85282 | 2006-02-07 |
| 1346211851 | East Valley Internists Ltd | Internal Medicine | 1898 E Southern Ave, Tempe, AZ 85282 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218483 | Blessed Hands Mobile Pllc | Nurse Practitioner | 1120 W Laird St, Tempe, AZ 85281-5311 | 2019-04-24 |
| 1508176694 | Mary Elizabeth Braham | Nurse Practitioner | 233 E Southern Ave, #24256, Tempe, AZ 85282-5189 | 2010-10-07 |
| 1548344567 | Alyssa S Haspel-siegel | Nurse Practitioner | 6323 S Rural Rd, Suite 107, Tempe, AZ 85283-2900 | 2006-10-25 |
| 1326429143 | Lisa Marie Warren-heft | Nurse Practitioner | 51 W 3rd St, Suite 500, Tempe, AZ 85281-2831 | 2015-06-17 |
| 1760884175 | Pophealthcare Medical Services of Az, PC | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2014-09-17 |
| 1144629429 | Mandi L. Filla | Nurse Practitioner | 1840 E Baseline Rd Ste A1, Tempe, AZ 85283-1527 | 2014-08-22 |
| 1710282330 | Margaret Komar | Nurse Practitioner | 2307 S Rural Rd, Tempe, AZ 85282-2424 | 2011-01-12 |
| 1144547357 | Gregory G. Zobell | Nurse Practitioner | 2141 E Warner Rd Ste 101, Tempe, AZ 85284-3493 | 2010-04-27 |
| 1083860647 | Mary K Harty | Nurse Practitioner | 451 E University Dr, Tempe, AZ 85281-5391 | 2008-08-14 |
| 1588827638 | Megan Mary Mccarthy | Nurse Practitioner | 2149 E Baseline Rd, Suite 103, Tempe, AZ 85283-1539 | 2008-07-09 |
| Find all providers in TEMPE | ||||
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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.