DR. AILEEN MARIE KENNEDY (NPI# 1124121694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124121694 |
| Entity Type | Individual |
| Full Name | DR. AILEEN MARIE KENNEDY |
| Credential | M.D. |
| Practice Address |
500 North Hwy 89 Prescott AZ 86313 |
| Mailing Address |
3216 W Walden Ct Anthem AZ 85086-1568 |
| Practice Telephone | 9284454860 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
31878 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
500 NORTH HWY 89 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922033505 | Daniel John Collins | Internal Medicine | 500 North Hwy 89, Prescott, AZ 86313 | 2006-07-11 |
| 1326514258 | Christopher A Glade | Social Worker | 500 North Hwy 89, Buillding 151 Lower C, Prescott, AZ 86313 | 2018-10-18 |
| 1669587762 | Zoraida Capllonch | Specialist | 500 North Hwy 89, Bob Stump Northern Arizona Va Medical Center, Prescott, AZ 86313 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1740548908 | Jaiah Townsend | Respiratory Therapist, Registered | 500 Hwy 89n, Northern Arizona Va Hospital, Prescott, AZ 86313 | 2012-04-25 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1740428648 | Ruthie Hunter | Social Worker | 500 North Us Highway 89, Prescott, AZ 86313 | 2009-01-30 |
| 1659586782 | Debra Lea Mcaninch | Nurse Practitioner | 500 Hwy 89 N, Prescott, AZ 86313 | 2007-05-11 |
| 1972697159 | Ted A. Mize I | Physical Therapist | 500 Us Highway 89 North, Prescott, AZ 86313 | 2006-10-03 |
| 1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1609986579 | Jeffrey C. Peters | Pharmacist | 500 N Us Hwy 89, Prescott, AZ 86313 | 2006-08-30 |
| 1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
| Find all providers in zip 86313 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214267 | William J. Thrift | Emergency Medicine | 801 Miller Valley Rd, Prescott, AZ 86301-1815 | 2006-04-17 |
| 1063469781 | Karin Vannieuwenhuizen | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-28 |
| 1619927514 | Andrew C Shuter | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-11 |
| 1487604559 | Andrew S Garff | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-11 |
| 1780633487 | Christopher J Lampe | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-09 |
| 1154370732 | Martin F Dekort | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-09 |
| 1508815192 | Andrew J Rounseville | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-05-09 |
| 1518922830 | Matthew G. Frankel | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-04-19 |
| 1891750113 | Robert M. Kec | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-04-19 |
| 1902861479 | Patrick J. Gallus | Emergency Medicine | 1003 Willow Creek Rd, Prescott, AZ 86301-1641 | 2006-04-19 |
| Find all providers in PRESCOTT | ||||
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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.