ANN KENNEDY (NPI# 1174076434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174076434 |
Entity Type | Individual |
Full Name | ANN KENNEDY |
Credential | CPO |
Practice Address |
3101 Sw Sam Jackson Park Rd Portland OR 97239-3009 |
Practice Telephone | 5032213430 |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-08-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | CPO01796 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224P00000X | Prosthetist | CPO01796 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700266236 | Ann Douglas Kennedy | Dentist | 16607 Riverstone Way Ste 300, Charlotte, NC 28277 | 2015-05-29 |
1447673058 | Ann Marie Kennedy | Student in an Organized Health Care Education/Training Program | 33 Whitman St, 1r, Dorchester, MA 02124-4428 | 2014-02-03 |
1457503633 | Ann M. Kennedy | Speech-Language Pathologist | 171 Proctor Rd, Chenango Forks, NY 13746-2143 | 2008-10-19 |
1679011027 | Ann Marie Kennedy | Case Manager/Care Coordinator | 17270 Roosevelt St, Riverside, CA 92508-9523 | 2017-02-06 |
1619234879 | Ann Alicia Kennedy | Nurse Practitioner | 2510 El Camino Real, Minute Clinic, Carlsbad, CA 92008 | 2012-04-12 |
1225331663 | Ann Marie Kennedy | Social Worker | 1070 College Ave, Columbus, OH 43209-2374 | 2010-12-07 |
Street Address |
3101 SW SAM JACKSON PARK RD |
City | PORTLAND |
State | OR |
Zip Code | 97239-3009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710968375 | Brookley Valentine Holter | Physician Assistant | 3101 Sw Sam Jackson Park Rd, Shriner's Hospital for Children, Portland, OR 97239 | 2005-11-10 |
1932743127 | Sarah Virginia Lowe | Dietitian, Registered | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-10-31 |
1548802960 | Richard Hannan | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2019-10-17 |
1558902262 | Janan Chandrananth | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2019-10-03 |
1245893007 | Elizabeth Ann Mandel | Nurse Practitioner | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-04-17 |
1104396589 | Rebecca-kelly Grant Clark | Occupational Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2018-11-28 |
1336629294 | Joel Hamilton Cowley | Physical Therapist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2018-08-20 |
1104314350 | Shriners Hospitals for Children | Anesthesiology | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2018-04-24 |
1356863765 | Stephen Arran Butler | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2017-07-07 |
1023547015 | Lucas Enen Annabell | Student in an Organized Health Care Education/Training Program | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2017-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
Find all providers in zip 97239 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316488356 | Jim Chea | Orthotist | 11782 Sw Barnes Rd Ste 160e, Portland, OR 97225-5939 | 2017-03-09 |
1629227095 | Mark Jason Sauser | Orthotist | 173 Ne 102nd Avenue, Portland, OR 97220-4169 | 2008-09-10 |
1205972049 | Marcus James Cassar | Orthotist | 2824 Sw Sam Jackson Park Rd, Portland, OR 97201-3006 | 2007-01-29 |
1134285620 | Natalia Hanavan | Orthotist | 3710 Sw Us Veteran's Hospital Rd, Portland, OR 97207 | 2006-12-29 |
1093878522 | John- Paul Donovan | Orthotist | 1274 Congress St, Portland, ME 04102-2111 | 2006-12-18 |
1306875208 | Maine Artificial Limb & Orthotics | Orthotist | 959 Brighton Ave, Portland, ME 04102-1020 | 2006-07-02 |
1457837403 | Miles S Bennett | Orthotist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-07-12 |
1043766231 | Michael Suchoski | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-29 |
1447703707 | Ron Stout | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
1669925921 | Sabrina Michele Jakobson Huston | Orthotist | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | 2016-08-03 |
Find all providers in PORTLAND |
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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.