ERIC F KENNEDY (NPI# 1386120905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386120905 |
| Entity Type | Individual |
| Full Name | ERIC F KENNEDY |
| Credential | LPN |
| Practice Address |
17876 Saint Clair Ave Cleveland OH 44110-2602 |
| Mailing Address |
25614 1st St Westlake OH 44145-1430 |
| Practice Telephone | 2163832222 |
| Mailing Telephone | 4406179351 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN105606 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346481116 | Eric Christopher Kennedy | Physical Therapist | 3213 Nazareth Rd, Easton, PA 18045-2000 | 2009-03-09 |
| 1841288701 | Eric Alan Kennedy | Physician Assistant | 52375 N Main St, Mattawan, MI 49071-9332 | 2005-10-13 |
| Street Address |
17876 SAINT CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44110-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206388 | Paul F Hergenroeder | Internal Medicine | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2005-06-21 |
| 1568075935 | Miranda Louise Raggets | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2020-08-26 |
| 1578111696 | Amanda Dawn Bovee | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2019-09-02 |
| 1821646589 | Jennah Hassel | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-08-27 |
| 1285295980 | Cynthia Lynn Boggins | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2019-06-24 |
| 1477033918 | Susan Lacey Antonelli | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-08-15 |
| 1689150773 | Nicole Marie Sugalski | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110 | 2018-07-12 |
| 1487157806 | Erin Welo | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2018-03-12 |
| 1336672104 | Micaela Pap | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2017-04-07 |
| 1427593193 | Ashley L Simmons | Nurse Practitioner | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952287 | Tamika Bonner-conway | Licensed Practical Nurse | 15315 Lucknow Ave, Cleveland, OH 44110 | 2017-06-21 |
| 1831554039 | Neecy's Transportation LLC | Non-emergency Medical Transport (VAN) | 14036 St.clair Ave, Cleveland, OH 44110 | 2015-12-15 |
| 1770970758 | Sherri Craig | Home Health Aide | 16201b Lakeshore Blvd Apt123, Cleveland, OH 44110 | 2015-04-17 |
| 1538576897 | Alayjah M Terrell | Home Health Aide | 917 East 150th, Cleveland, OH 44110 | 2014-07-18 |
| 1700204955 | East Academy, Inc. | Local Education Agency (LEA) | 17520 Kipling, Cleveland, OH 44110 | 2014-04-04 |
| 1578990867 | Delaundria Denise Benjamin | Licensed Practical Nurse | 14206 Westropp Ave, Apt. 211, Cleveland, OH 44110 | 2013-10-01 |
| 1114262789 | Epiphany Damaja Baker | Home Health Aide | 892 E. 139th Street, Cleveland, OH 44110 | 2012-12-07 |
| 1174872543 | Sarah Ann Blowers | Nurse Practitioner | 17876 St. Clair Avenue, Cleveland, OH 44110 | 2012-08-31 |
| 1447495312 | Kathy Jean Taylor | Non-emergency Medical Transport (VAN) | 15218 Lakeshore Blvd, Cleveland, OH 44110 | 2008-12-08 |
| 1689832420 | Glenda Alise Johnson | Nursing Home Administrator | 13514 Kelso Ave, Cleveland, OH 44110 | 2008-05-29 |
| Find all providers in zip 44110 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1518573997 | Diane Goodwin | Licensed Practical Nurse | 16416 Huntmere Ave, Cleveland, OH 44110-1551 | 2020-09-21 |
| 1710593504 | Shareesah Michelle Bland | Licensed Practical Nurse | 5648 Hamlet Ave, Cleveland, OH 44127-1704 | 2020-09-17 |
| 1134733116 | Shanice Lattimore | Licensed Practical Nurse | 9700 Kempton Ave, Cleveland, OH 44108-2947 | 2020-09-07 |
| 1679184741 | Adoring Hearts Homecare Agency LLC | Licensed Practical Nurse | 18302 Harland Ave, Cleveland, OH 44119-2038 | 2020-08-12 |
| 1669082442 | Toniette Brown | Licensed Practical Nurse | 14108 Edgewood Ave # Up, Cleveland, OH 44128-1069 | 2020-08-05 |
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1851909949 | Kimberely T Newton | Licensed Practical Nurse | 1426 E 55th St, Cleveland, OH 44103-1308 | 2020-07-15 |
| 1639797202 | Jervonna Ashford | Licensed Practical Nurse | 881 E 73rd St, Cleveland, OH 44103-1787 | 2020-07-10 |
| 1962024604 | Jasmine Monique Pace | Licensed Practical Nurse | 5151 Ruble Ct, Cleveland, OH 44104-1316 | 2020-05-16 |
| 1629690599 | Nahtia D Stribling | Licensed Practical Nurse | 1904 E 71st St, Cleveland, OH 44103-4008 | 2020-05-13 |
| Find all providers in CLEVELAND | ||||
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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.