TRACI KENNEDY


Address: 1300 Hospital Dr Ste 220, Mount Pleasant, SC 29464-3208
Phone: 8439366238

TRACI KENNEDY (NPI# 1306206990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306206990
Entity Type Individual
Full Name TRACI KENNEDY
Practice Address 1300 Hospital Dr Ste 220
Mount Pleasant
SC 29464-3208
Practice Telephone 8439366238
Practice Fax Number 8439366239
Mailing Telephone 8439366238
Mailing Fax Number 8439366239
Enumeration Date 2016-02-25
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WE0003X Registered Nurse
Specialization: Emergency
28091733A IN Nursing Service Providers
Y 363L00000X Nurse Practitioner 21498 SC Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 71006563A IN Physician Assistants & Advanced Practice Nursing Providers

Other Providers TRACI KENNEDY

NPI Name Taxonomy Address Enumeration
1891130480 Traci Michelle Kennedy Psychologist 3811 Ohara St, Pittsburgh, PA 15213-2561 2013-05-08

Office Location

Street Address 1300 HOSPITAL DR STE 220
City MOUNT PLEASANT
State SC
Zip Code 29464-3208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972059004 Jesse Perseghin Chiropractor 1300 Hospital Dr Ste 220, Mount Pleasant, SC 29464-3208 2016-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811548241 Bradley Paul Anuszkiewicz Chiropractor 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 2019-09-26
1447808696 Laura Mariah Crouse Speech-Language Pathologist Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 2019-08-30
1912461807 Independent Optical Optometrist 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 2019-01-25
1417446204 Michael Adam Sugarman Clinical Neuropsychologist 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 2018-05-07
1578064192 Ancillary Specialists LLC Durable Medical Equipment & Medical Supplies 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 2018-02-28
1346769015 Christin Solomon Zerega Counselor Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 2017-09-14
1336660315 Charleston Neuropsychology LLC Psychologist 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 2017-06-29
1790219970 Adam Hudepohl Family Medicine 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 2017-04-14
1386181204 Alicia Taylor Speech-Language Pathologist 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 2017-01-30
1285181941 Tara Lynn Mast Physical Therapist 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 2016-09-09
Find all providers in zip 29464

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083229439 Melissa Lynn Doering Nurse Practitioner 1054 Johnnie Dodds Blvd, Mount Pleasant, SC 29464-3153 2020-09-12
1851860332 John Thomas Pattison V Nurse Practitioner 7070 E Broadway Rd, Mount Pleasant, MI 48858-8970 2018-11-14
1750806188 Trista Ann Patten Nurse Practitioner 3811 Spring St # 301, Mount Pleasant, WI 53405-1667 2017-08-07
1841742152 Emily Kastenson Nurse Practitioner 6611 Spring St, Mount Pleasant, WI 53406-2632 2016-11-03
1821349051 Anna Rybak Nurse Practitioner 1604 Lakewood Ave, Mount Pleasant, WI 53403-3827 2012-09-27
1174630057 Kimberly A Woyach Nurse Practitioner 8400 Washington Ave # 245, Mount Pleasant, WI 53406-3735 2006-08-24
1063010080 Sara Ann Simpson Nurse Practitioner 6211 Durand Ave Ste 100, Mount Pleasant, WI 53406-4956 2020-10-12
1285242214 Samantha Ashley Murray Nurse Practitioner 3801 Spring St, Mount Pleasant, WI 53405-1667 2020-07-15
1972136281 Heather Marie Steppe Nurse Practitioner 3801 Spring St, Mount Pleasant, WI 53405-1667 2020-02-14
1831747625 Sarantuya Nisler Nurse Practitioner 3805b Spring St Ste 260, Mount Pleasant, WI 53405-1643 2019-08-27
Find all providers in MOUNT PLEASANT

Competitor

Search similar providers

City MOUNT PLEASANT
Zip Code 29464

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Dataset Information

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.

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