MRS. MARIA S KENNEALLY (NPI# 1205821493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205821493 |
| Entity Type | Individual |
| Full Name | MRS. MARIA S KENNEALLY |
| Credential | APNP, BC |
| Practice Address |
652 E. Warner Rd. Suite 107 Gilbert AZ 85296-3073 |
| Mailing Address |
652 E Warner Rd Ste 107 Gilbert AZ 85296-3073 |
| Practice Telephone | 6083457956 |
| Mailing Telephone | 4805398680 |
| Mailing Fax Number | 4805391763 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2016-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP8296 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
652 E. WARNER RD. SUITE 107 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-3073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396972444 | Jaclyn Rene Brown | Family Medicine | 652 E. Warner Rd., Suite 107, Gilbert, AZ 85296-3073 | 2009-06-16 |
| 1346260833 | Patrick Leroy Flyte | Family Medicine | 652 E. Warner Rd., Suite 107, Gilbert, AZ 85296-3073 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
| 1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
| 1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
| 1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
| 1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| Find all providers in GILBERT | ||||
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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.