REBECCA DEE KENNEDY (NPI# 1275975252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275975252 |
| Entity Type | Individual |
| Full Name | REBECCA DEE KENNEDY |
| Credential | CNP |
| Practice Address |
100 Freeman Dr Saint Peter MN 56082-3504 |
| Practice Telephone | 5073407650 |
| Mailing Telephone | 5073407650 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | R 132003-5 | MN | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982007233 | Rebecca Marie Kennedy | Hearing Instrument Specialist | 3409 Cleveland Heights Blvd, Lakeland, FL 33803-4807 | 2014-10-01 |
| 1952625154 | Rebecca Kennedy | Occupational Therapist | 6860 Kilimanjaro Dr, Evergreen, CO 80439-5306 | 2010-03-17 |
| 1447499223 | Rebecca Kennedy | Psychologist | 310 E Government St Ste C-2, Pensacola, FL 32502-6508 | 2009-02-18 |
| 1639387327 | Rebecca Kennedy | Psychologist | 3206 Ethan Allen Hwy, New Haven, VT 05472-1040 | 2007-05-18 |
| 1265450977 | Rebecca Jean Kennedy | Kinesiotherapist | 4117 N Colonial Ave, Portland, OR 97217-3338 | 2006-07-18 |
| 1851369367 | Rebecca Lynn Kennedy | Optometrist | 357 Bunkers Cove Rd, Panama City, FL 32401-3911 | 2006-03-09 |
| 1245213412 | Rebecca Smith Kennedy | Radiology | 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | 2005-11-22 |
| 1932745643 | Rebecca Kennedy | Behavior Technician | 7326 Little Rd, New Port Richey, FL 34654-5518 | 2019-11-18 |
| 1629525464 | Rebecca Kennedy | Counselor | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2016-09-09 |
| 1770980955 | Rebecca Jill Kennedy | Physical Therapist | 484 Main St, Worcester, MA 01608-1893 | 2014-12-03 |
| Street Address |
100 FREEMAN DR |
| City | SAINT PETER |
| State | MN |
| Zip Code | 56082-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011528 | Andrea Richard | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-07-29 |
| 1457977373 | Robert James Haight | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-17 |
| 1881219723 | Jodi Lynn Meerbeek | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2020-06-16 |
| 1316584832 | Jessica Rae Waldron | Marriage & Family Therapist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-12-03 |
| 1992349153 | Joseph Samuel Owen | Registered Nurse | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-10-31 |
| 1639632219 | Maria B Sargeant | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-04-10 |
| 1922568641 | Michelle Marie Dick | Social Worker | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2019-03-20 |
| 1871065151 | Julie Renee Nordquist | Nurse Practitioner | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-12-26 |
| 1841781226 | Elizabeth Ann Marti | Counselor | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2018-05-22 |
| 1356851372 | Kyle Yerks | Pharmacist | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687624 | Community Behavioral Health Hospital-st Peter | Psychiatric Hospital | 2000 Klein St, Saint Peter, MN 56082-5800 | 2006-05-18 |
| 1477925444 | St. Peter Regional Treatment Center | Psychiatric Hospital | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2015-10-29 |
| 1508804683 | St. Peter Regional Treatment Center | Psychiatric Hospital | 100 Freeman Dr, Saint Peter, MN 56082-3504 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1285760363 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 1701 Technology Drive Ne, Willmar, MN 56201 | 2007-02-26 |
| 1013042589 | Child & Adolescent Behavioral Health Services | Psychiatric Hospital | 11630 State Ave, Brainerd, MN 56401-7306 | 2007-02-23 |
| 1346304805 | Comminty Behavioral Health Hospital-cold Spring | Psychiatric Hospital | 224 Krays Mill Road, Cold Spring, MN 56320 | 2006-12-20 |
| 1487715033 | Community Behavioral Health Hospital-baxter | Psychiatric Hospital | 14241 Grand Oaks Drive, Baxter, MN 56425 | 2006-12-13 |
| 1962583039 | Community Behavioral Health Hospital-fergus Falls | Psychiatric Hospital | 1801 West Alcott, Fergus Falls, MN 56537 | 2006-10-17 |
| 1336237957 | Minneapolis Veterans Administration Hospital | Psychiatric Hospital | 1 Veterans Dr # 116a, Minneapolis, MN 55417-2309 | 2006-10-10 |
| 1225130487 | Community Behavioral Health Hospital-annandale | Psychiatric Hospital | 400 Annandale Blvd., Annandale, MN 55302 | 2006-09-01 |
| 1386676799 | Community Behavioral Health Hospital-alexandria | Psychiatric Hospital | 1610 8th Aveune East, Alexandria, MN 56308 | 2006-07-07 |
| 1609814821 | Fergus Falls Regional Treatment Center | Psychiatric Hospital | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETER |
| Zip Code | 56082 |
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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.