JACY L KENNEDY (NPI# 1134780968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134780968 |
| Entity Type | Individual |
| Full Name | JACY L KENNEDY |
| Credential | ARNP |
| Practice Address |
1207 N Jefferson St Ste 1 Ottumwa IA 52501-2021 |
| Practice Telephone | 6416825437 |
| Practice Fax Number | 6416821628 |
| Mailing Telephone | 6416825437 |
| Mailing Fax Number | 6416821628 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A155098 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1207 N JEFFERSON ST STE 1 |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1508305541 | Laura Medanic | Nurse Practitioner | 1013 Pennsylvania Ave # A-c, Ottumwa, IA 52501-2110 | 2017-02-22 |
| 1265051239 | Stephanie Merrill | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2020-04-10 |
| 1659904399 | Natasha Ann Myers | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2020-02-21 |
| 1831738871 | Tracy Lynn Clawson | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-12-21 |
| 1407415128 | Sondra Philips | Nurse Practitioner | 201 S Market St, Ottumwa, IA 52501-2946 | 2019-06-06 |
| 1043796469 | Jayci Michelle Beamer | Nurse Practitioner | 1009 Pennsylvania Ave, Ottumwa, IA 52501-2108 | 2018-07-18 |
| 1447752464 | Peggy Sue Swank | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2018-03-06 |
| 1073038220 | Jamie Lee Hyde | Nurse Practitioner | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2017-08-09 |
| 1649794561 | Malerie Plank | Nurse Practitioner | 1255 Theatre Dr, Ottumwa, IA 52501-3772 | 2017-08-02 |
| Find all providers in OTTUMWA | ||||
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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.