MS. SERENA MARIE KENNEDY (NPI# 1336440544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336440544 |
| Entity Type | Individual |
| Full Name | MS. SERENA MARIE KENNEDY |
| Credential | LMP |
| Practice Address |
6300 9th Ave Ne Suite 300 Seattle WA 98115-8515 |
| Practice Telephone | 2069927485 |
| Mailing Telephone | 2069927485 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00020028 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6300 9TH AVE NE SUITE 300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396774170 | Deborah Mcgrew | Pediatrics | 6300 9th Ave Ne, Suite 200, Seattle, WA 98115-8515 | 2006-07-02 |
| 1669837746 | Mosaic Natural Family Medicine, Pllc | Naturopath | 6300 9th Ave Ne, Suite 300, Seattle, WA 98115-8515 | 2015-12-16 |
| 1952731440 | Mcfarlane Nurse Midwifery Pllc | Advanced Practice Midwife | 6300 9th Ave Ne, Ste 300, Seattle, WA 98115-8515 | 2013-11-19 |
| 1588090039 | Zhiping Acupuncture Clinic | Clinic/Center | 6300 9th Ave Ne, Suite 200, Seattle, WA 98115-8515 | 2013-09-16 |
| 1164761110 | Ann K Mcfarlane | Advanced Practice Midwife | 6300 9th Ave Ne, Ste 300, Seattle, WA 98115-8515 | 2013-02-12 |
| 1568706760 | Leslie Virginia Burgess | Naturopath | 6300 9th Ave Ne, Suite #200, Seattle, WA 98115-8515 | 2012-11-12 |
| 1245584663 | Northwest Naturopathy and Acupuncture, Pllc | Non-Pharmacy Dispensing Site | 6300 9th Ave Ne, Suite 310, Seattle, WA 98115-8515 | 2012-11-07 |
| 1316244924 | Christy Lynn Kumar | Physical Therapist | 6300 9th Ave Ne, Suite 360, Seattle, WA 98115-8515 | 2011-02-16 |
| 1598068983 | Paul Perrotta Massage Associates Inc | Specialist | 6300 9th Ave Ne, Suite 310, Seattle, WA 98115-8515 | 2010-12-07 |
| 1942533559 | Ursula Eshleman Frank | Massage Therapist | 6300 9th Ave Ne, Seattle, WA 98115-8515 | 2009-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
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| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 1982201976 | Ashley Beth Metzger | Massage Therapist | 9449 25th Ave Sw, Seattle, WA 98106-2633 | 2020-10-03 |
| 1639786379 | Tiana M. Duncan | Massage Therapist | 3250 Airport Way S Ste 322, Seattle, WA 98134-2167 | 2020-09-27 |
| 1073120937 | C Gale, Pllc | Massage Therapist | 3250 Airport Way S Ste 738, Seattle, WA 98134-2172 | 2020-09-24 |
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1518572015 | Katrina A Gray | Massage Therapist | 918 S Horton St # 740, Seattle, WA 98134-1952 | 2020-09-11 |
| 1063026375 | Alycia Anne Lochridge | Massage Therapist | 313 27th Ave S, Seattle, WA 98144-2409 | 2020-09-03 |
| 1811508039 | Kathryn Steinfort | Massage Therapist | 4464 Fremont Ave N Ste 102, Seattle, WA 98103-7290 | 2020-08-11 |
| 1124645932 | Carl Wilson | Massage Therapist | 12345 Roosevelt Way Ne Apt 304, Seattle, WA 98125-4867 | 2020-06-26 |
| 1235755927 | Jeremy Steward | Massage Therapist | 1908 E Republican St, Seattle, WA 98112-4001 | 2020-06-18 |
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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.