MRS. MARY KATHLEEN KENNEDY (NPI# 1053455568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053455568 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHLEEN KENNEDY |
| Other Name | DR. MARY WOOD KENNEDY |
| Credential | EDDSPED,CCC-SLP |
| Practice Address |
1613 Ginger Dr Hideaway TX 75771-5311 |
| Practice Telephone | 9035308169 |
| Mailing Telephone | 9035308169 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | SP15930 | CA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SP1522 | ME | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 3892 | NM | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 6816 | MA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA8471 | FL | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 11254 | TX | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336418169 | Mary Katherine Kennedy | Developmental Therapist | 10727 Burr Oak Way, Burke, VA 22015-2414 | 2011-12-22 |
| 1568635738 | Mary A Kennedy | Speech-Language Pathologist | 1801 Alfresco Pl, Louisville, KY 40205-1807 | 2008-04-09 |
| 1518095660 | Mary S. Kennedy | Social Worker | 16 Fayette St, Cambridge, MA 02139-1112 | 2007-03-01 |
| 1578656716 | Mary Kennedy | Nurse Practitioner | 105 E Hack St, Cullom, IL 60929 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| 1992750517 | Mary Kay Kennedy | Social Worker | 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 | 2006-05-23 |
| 1972563757 | Mary M Kennedy | Social Worker | 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 | 2006-03-24 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1518471226 | Mary Kennedy | Counselor | 1010 Remington Plz, Raymore, MO 64083-8640 | 2017-11-17 |
| 1871851196 | Mary Kennedy | Day Training/Habilitation Specialist | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| Street Address |
1613 GINGER DR |
| City | HIDEAWAY |
| State | TX |
| Zip Code | 75771-5311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558915017 | Stephanie Michelle Christian | Licensed Vocational Nurse | 1376 Bridle Path Lane, Hideaway, TX 75771 | 2019-08-01 |
| 1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
| 1891287579 | Lindale Smiles | Dentist | 120 E Centennial Boulevard, Suite 302, Lindale, TX 75771 | 2018-05-30 |
| 1801396643 | Barbara Sue Warren | Registered Nurse | 15498 County Road 4140, Lindale, TX 75771 | 2018-02-19 |
| 1568900876 | Kathryn D. Ketter Dba Snider Adult Foster Care | Custodial Care Facility | 16337 Esther Rd, Lindale, TX 75771 | 2017-02-07 |
| 1932556578 | Zenith Hospice Care Inc | Hospice Care, Community Based | 700 N Main Street, Lindale, TX 75771 | 2016-05-23 |
| 1548424898 | Jack Wallace Rice | Family Medicine | 20044 Fm 16 W, Lindale, TX 75771 | 2008-07-16 |
| 1487776514 | Lindale Isd | Local Education Agency (LEA) | 402 West North St, Lindale, TX 75771 | 2007-04-06 |
| 1881745537 | B Clay Keith Dds Pa | Dentist | 410 Eagle Spirit Drive, Lindale, TX 75771 | 2007-01-16 |
| 1992873715 | Champagne Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N. Main Street, Lindale, TX 75771 | 2006-12-01 |
| Find all providers in zip 75771 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083430 | Laura Gallups | Speech-Language Pathologist | 25 Leonard Trl, Westworth Village, TX 76114-4037 | 2020-11-07 |
| 1215538509 | Laura Langford Smith | Speech-Language Pathologist | 7309 Janna Dr, Abilene, TX 79606-5323 | 2020-11-04 |
| 1629679725 | Haley Brawner Warren | Speech-Language Pathologist | 5800 Broadway Ste 106, San Antonio, TX 78209-5257 | 2020-11-04 |
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1538760137 | Stefani Stovall | Speech-Language Pathologist | 203 Bo Gibbs Blvd, Glen Rose, TX 76043 | 2020-11-02 |
| 1285234971 | Hilary Rodriguez Febus | Speech-Language Pathologist | 1 Hermann Park Ct Apt 111, Houston, TX 77021-2273 | 2020-10-30 |
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1194324723 | Ashley Panakezham | Speech-Language Pathologist | 800 Bonaventure Way Ste 147, Sugar Land, TX 77479-8006 | 2020-10-24 |
| 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.