BONNIE SUE KENNEDY (NPI# 1093187734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093187734 |
| Entity Type | Individual |
| Full Name | BONNIE SUE KENNEDY |
| Credential | NP |
| Practice Address |
1809 Wade Hampton Blvd Suite 120 Greenville SC 29609-4041 |
| Mailing Address |
1 Independence Pt Suite 212 Greenville SC 29615-4545 |
| Practice Telephone | 8643224665 |
| Mailing Telephone | 8647976328 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19511 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP3552 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154658110 | Bonnie Lynn Kennedy | Occupational Therapist | 822 Arroyo Dr, South Pasadena, CA 91030-2302 | 2009-11-12 |
| 1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
| 1922008432 | Bonnie S Kennedy | Nurse Anesthetist, Certified Registered | 2151 W Spring St, Monroe, GA 30655-3115 | 2005-07-26 |
| 1013254978 | Bonnie M Kennedy | Pharmacist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2013-01-12 |
| 1669706362 | Bonnie Kennedy | Counselor | 22790 Sw 112th Ave, Miami, FL 33170-7602 | 2009-09-28 |
| Street Address |
1809 WADE HAMPTON BLVD SUITE 120 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29609-4041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629027990 | Kurt R Harding | Family Medicine | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2006-05-06 |
| 1528424942 | Angela Uson Mendaros | Nurse Practitioner | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2016-01-14 |
| 1669843843 | Erin Kennedy Johnson | Nurse Practitioner | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2015-10-13 |
| 1205198637 | Shannon Marie Burgess | Pediatrics | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2012-06-12 |
| 1427310853 | Andrew Jay Burgess | Internal Medicine | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2012-06-12 |
| 1760772537 | Elizabeth Mccoy Mckinney | Internal Medicine | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2011-04-14 |
| 1285651042 | Daniel Borkert | Family Medicine | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4050 | 2006-07-17 |
| 1740207406 | University Medical Associates, LLC | Internal Medicine | 1809 Wade Hampton Blvd, Greenville, SC 29609-4041 | 2006-07-17 |
| 1992756100 | Jean Kimi Saito | Internal Medicine | 1809 Wade Hampton Blvd, Suite 120, Greenville, SC 29609-4041 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1417434655 | Kathryn Dorothy Muschick | Pediatrics | 900 W. Faris Dr., Greenville, SC 29609 | 2018-07-20 |
| 1942705645 | The Wright Home Care, LLC | Social Worker | 217 E Stone Ave Ste 8, Greenville, SC 29609 | 2018-03-26 |
| 1205388386 | Galina Hufstetler | Physical Therapist | 414 Summit Drive, Apt. 313, Greenville, SC 29609 | 2016-10-25 |
| 1811303225 | Cal Jones LLC | Pharmacy | 961 Montebello Dr, Suite 2, Greenville, SC 29609 | 2014-07-07 |
| 1982954319 | John C Shaughnessy | Pharmacist | 1141 State Park Road, Greenville, SC 29609 | 2012-09-13 |
| 1770842726 | Neil S Sondov | Counselor | 1100 Rutherford Road, Greenville, SC 29609 | 2012-05-11 |
| 1790044915 | Crystal Ervin | Counselor | 1 Chick Springs Rd Ste 210a, Greenville, SC 29609 | 2012-05-08 |
| 1881992840 | Cherrydale Dental Associates, LLC | Dentist | 105 State Park Rd, Greenville, SC 29609 | 2011-03-01 |
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| Find all providers in zip 29609 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29609 |
Please comment or provide details below to improve the information on BONNIE SUE KENNEDY.
| 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.