SANDRA J. KENNEDY (NPI# 1225194855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225194855 |
| Entity Type | Individual |
| Full Name | SANDRA J. KENNEDY |
| Credential | A.R.N.P. |
| Practice Address |
140 Sw 146th St Burien WA 98166-1912 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2069012300 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30003689 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN00099564 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9616905 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548397 | Sandra Kay Kennedy | Nurse Practitioner | 4965 Beechwood Cir, Avon, IN 46123-4621 | 2010-05-12 |
| 1912070590 | Sandra Huebsch Kennedy | Dentist | 11800 Aberdeen St Ne Ste 110, Blaine, MN 55449-4812 | 2006-11-15 |
| 1477079077 | Sandra Kennedy | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2017-08-16 |
| 1306248091 | Sandra Kennedy | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2014-09-24 |
| 1770869281 | Sandra Joan Kennedy | Registered Nurse | 1233 N 30th St, Billings, MT 59101-0127 | 2011-10-27 |
| 1972811610 | Sandra Kennedy | Physical Therapist | 222 Acacia St, Fairfield, CA 94533-3800 | 2010-09-15 |
| 1104904473 | Sandra Kennedy | Registered Nurse | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
140 SW 146TH ST |
| City | BURIEN |
| State | WA |
| Zip Code | 98166-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952394702 | Sarah Beth Philp | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2005-08-26 |
| 1902425648 | Alejandra Duran Arreola | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2020-04-13 |
| 1033747621 | Adetola Cilveria Adeniyi | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166 | 2020-03-30 |
| 1316407133 | Christian Kishlock | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2019-03-20 |
| 1134689995 | Ann Lin | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2019-03-20 |
| 1275038069 | Rachel Yagi Nakanishi | Family Medicine | 140 Sw 146th St, Burien, WA 98166-1912 | 2018-03-26 |
| 1316441447 | Stephen Supoyo | Student in an Organized Health Care Education/Training Program | 140 Sw 146th St, Burien, WA 98166-1912 | 2018-03-22 |
| 1932627536 | Aparna Lakshman | Physician Assistant | 140 Sw 146th St, Burien, WA 98166-1912 | 2017-09-02 |
| 1558881284 | Rachael Elizabeth Robins | Physician Assistant | 140 Sw 146th St, Burien, WA 98166-1912 | 2017-06-23 |
| 1205364817 | Sopalla Dul | Physician Assistant | 140 Sw 146th St, Burien, WA 98166 | 2017-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508341488 | Robert James Woodland Sr. | Counselor | 1210 Sw 136th St., Burien, WA 98166 | 2018-09-26 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1053856070 | Michael David Blackledge | Physical Therapist | 15811 Ambaum Blvd Sw Ste 140, Burien, WA 98166 | 2016-12-29 |
| 1114372232 | Maris Gibson | Massage Therapist | 801 S.w. 150thst, #110, Burien, WA 98166 | 2016-04-26 |
| 1649642992 | Navos | Community/Behavioral Health | 31408 28th Ave South, 1201 Sw 136th Street, Burien, WA 98166 | 2015-10-27 |
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1497163778 | Maria Garvey-caruso | Physical Therapist | 1511 Ambaum Blvd South West, Suite 140, Burien, WA 98166 | 2014-07-30 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1023362753 | Donna Shaman | Occupational Therapist | 15675 Ambaum Blvd, Burien, WA 98166 | 2012-11-02 |
| 1366707010 | Tracy C Saephanh | Pharmacy Technician | 14901 4th Ave Sw Ste 100, Burien, WA 98166 | 2012-07-09 |
| Find all providers in zip 98166 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
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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.