MS. KERRY MARIE KENNEDY (NPI# 1083949986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083949986 |
| Entity Type | Individual |
| Full Name | MS. KERRY MARIE KENNEDY |
| Credential | PMHNP |
| Practice Address |
2250 Nw 26th St Owatonna Hospital Owatonna MN 55060 |
| Mailing Address |
610 Florence Ave Owatonna MN 55060-4704 |
| Practice Telephone | 5074557644 |
| Practice Fax Number | 5074446053 |
| Mailing Telephone | 5074512630 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2013-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
R123669 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | 500005583 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727907 | Kerry D Kennedy | Dentist | 625 E 34th Ave, Anchorage, AK 99503-4117 | 2005-08-18 |
| 1073909933 | Kerry Kennedy | Nurse Practitioner | 15010 Memorial Dr, Houston, TX 77079-4302 | 2015-04-07 |
| 1578746418 | Kerry Kennedy | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-12-14 |
| 1174661391 | Kerry Mark Kennedy | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2007-02-01 |
| Street Address |
2250 NW 26TH ST OWATONNA HOSPITAL |
| City | OWATONNA |
| State | MN |
| Zip Code | 55060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477517787 | Allina Health System | Durable Medical Equipment & Medical Supplies | 2250 Nw 26th St, Ste 1001, Owatonna, MN 55060-5503 | 2006-04-13 |
| 1225659774 | Shirley Marie Winslett | Dietitian, Registered | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2020-05-06 |
| 1447896998 | Christa Lynn Christianson | Physical Therapy Assistant | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2019-11-20 |
| 1932744281 | Lindsey Bathrick | Speech-Language Pathologist | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2019-11-11 |
| 1073036034 | Autumn Rae Arendt | Speech-Language Pathologist | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2017-07-21 |
| 1881133403 | Christine Lynn Gedicke | Social Worker | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2017-02-15 |
| 1235672379 | Michelle Olsen | Physical Therapist | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2016-11-21 |
| 1497297105 | Derek Todd Schelling | Physical Therapist | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2016-11-11 |
| 1700247210 | Akua Asantewaa Appiah-num | Pharmacist | 2250 Nw 26th St, #1001, Owatonna, MN 55060-5503 | 2016-03-10 |
| 1942671128 | Elizabeth Victoria Keck | Social Worker | 2250 Nw 26th St, Owatonna, MN 55060-5503 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936480 | Lee Joseph Bakewell | Nurse Practitioner | 2200 Nw 26th St, Owatonna, Owatonna, MN 55060 | 2019-01-25 |
| 1275028227 | Karen Brennhofer | Audiologist | 2200 Nw 26th St Apt 309, Owatonna, MN 55060 | 2018-06-22 |
| 1801326418 | Katharyn Kristin Stricklin | Registered Nurse | 1961 Premier Drive, Suite 340 Mankato, Mankato, MN 55060 | 2017-06-15 |
| 1134666753 | Holly Christianson | Social Worker | 2575 Harvest Lane Nw, Owatonna, MN 55060 | 2017-01-20 |
| 1346613031 | Birchwood Cottages | Assisted Living Facility | 1905 Austin Road, Owatonna, MN 55060 | 2015-11-04 |
| 1881080067 | Cory Michael Kopas | Chiropractor | 130 26th Street Nw, Owatonna, MN 55060 | 2015-04-14 |
| 1528456613 | Quality Home Health Care Inc. | Home Health | 201 East Front Street, Owatonna, MN 55060 | 2014-12-26 |
| 1194017624 | Amy Louise Haycraft | Nurse Practitioner | South Central Human Relations Center, 610 Florence Ave, Owatonna, MN 55060 | 2011-05-02 |
| 1710123971 | Rahn Optometry Inc | Optometrist | 1130 W. Frontage Rd, Owatonna, MN 55060 | 2008-12-18 |
| 1063616993 | Michael John Dickman | Dentist | 1414 S Oak Ave Suite Five, Owatonna, MN 55060 | 2007-06-13 |
| Find all providers in zip 55060 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073095063 | Taylor Ohotto | Registered Nurse | 644 Willoughby Way W, Hopkins, MN 55305-5352 | 2018-09-05 |
| 1043650534 | William Clare Cebulla | Registered Nurse | 29538 Olinda Trl, Lindstrom, MN 55045-9440 | 2013-06-27 |
| 1851638159 | Mary Kay Borgstrom | Registered Nurse | 905 Forest Ave E Ste 150, Mora, MN 55051-1632 | 2013-01-08 |
| 1780951103 | Helen Margaret Knox | Registered Nurse | Hennepin County Government Center A14, 300 So 6th St, Minneapolis, MN 55487-0001 | 2011-11-30 |
| 1023229085 | Patricia K. Cretilli | Registered Nurse | 5430 Edgewater Blvd, Minneapolis, MN 55417-2604 | 2007-05-24 |
| 1093862732 | April Leta Wolfson | Registered Nurse | 327 Marschall Rd # 350, Shakopee, MN 55379-1687 | 2007-01-04 |
| 1992716245 | Cheryl A. Covert | Registered Nurse | 1044 Saint Johns Bay, Woodbury, MN 55129-8537 | 2006-08-11 |
| 1730164567 | Kathleen J Lietzau | Registered Nurse | 6950 146th St W, Suite 100, Apple Valley, MN 55124-4513 | 2005-12-14 |
| 1760956668 | Kathleen Elizabeth Pengelly | Registered Nurse | 762 Transfer Rd Ste 21, Saint Paul, MN 55114-1489 | 2019-01-15 |
| 1255777322 | Sandra Jean Shadley | Registered Nurse | 225 Sherburne St N, Stillwater, MN 55082-4726 | 2013-05-16 |
| 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.