SALLY ELIZABETH KENNEDY (NPI# 1386259372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386259372 |
| Entity Type | Individual |
| Full Name | SALLY ELIZABETH KENNEDY |
| Practice Address |
5894 S Shandle Blvd Mentor OH 44060-1972 |
| Practice Telephone | 4407255317 |
| Mailing Telephone | 4407255317 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0000250144 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225302029 | Sally Ann Kennedy | Psychologist | 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 | 2012-02-27 |
| 1043293103 | Sally Jean Kennedy | Nurse Practitioner | 1898 E Southern Ave, Tempe, AZ 85282-5836 | 2005-11-22 |
| 1841661360 | Sally Kennedy | Nurse Anesthetist, Certified Registered | 2307 Parkland Way, Norman, OK 73069-6536 | 2015-10-09 |
| 1275712374 | Sally I Kennedy | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2007-10-25 |
| Street Address |
5894 S SHANDLE BLVD |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-1972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528254 | Crystal Lynn Carlton | Driver | 463 Regency Park Dr, Tallmadge, OH 44278-1503 | 2020-11-05 |
| 1578164711 | Alvah Yolanda Hayes | Driver | 1612 33rd St Ne, Canton, OH 44714-1552 | 2020-11-04 |
| 1184225609 | Michelle Andrea | Driver | 1211 Taft Ave, Cuyahoga Falls, OH 44223-2243 | 2020-11-02 |
| 1851990501 | Mildred J Yost | Driver | 2275 Greenwich Milan Townline Rd, Norwalk, OH 44857-9509 | 2020-10-23 |
| 1386242782 | Nicole D Endres | Driver | 109 N Main St Ste 209, Mansfield, OH 44902-7669 | 2020-10-16 |
| 1114525938 | June Williams | Driver | 1072 Damon Dr, Washington Court House, OH 43160-2474 | 2020-10-14 |
| 1063010999 | Julia Marie Morris | Driver | 860 Tick Hill Rd, Lowell, OH 45744-7492 | 2020-10-13 |
| 1548868532 | Mildred Elaine Rose | Driver | 8043 Plainfield Rd, Kimbolton, OH 43749-9736 | 2020-10-13 |
| 1982202008 | Julie Perry | Driver | 8423 Columbus Rd, Mount Vernon, OH 43050-9366 | 2020-10-12 |
| 1447858618 | Marc Speakman | Driver | 3911 Mengert Rd, Lucas, OH 44843-9741 | 2020-10-11 |
| Find all providers with the same taxonomy | ||||
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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.