MS. STACY LEE KENNIGSEDER (NPI# 1396288734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288734 |
| Entity Type | Individual |
| Full Name | MS. STACY LEE KENNIGSEDER |
| Credential | R.N. |
| Practice Address |
5 Salome St Fort Smith AR 72901-6546 |
| Practice Telephone | 4794144779 |
| Mailing Telephone | 4794144779 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R094022 | AR | Nursing Service Providers |
| Street Address |
5 SALOME ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-6546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700306701 | Jessica Michelle Curtis | Registered Nurse | 409 Mullins St, Emerson, AR 71740 | 2017-06-21 |
| 1457747388 | Scott King | Registered Nurse | 2715 Meadow Vw Apt 3, Fayetteville, AR 72704-9352 | 2015-04-07 |
| 1083817381 | Evelyn Boggs | Registered Nurse | John L. Mccellan Memorial Veterans Hospital, 4300 West 7th Street, Little Rock, AR 72205 | 2007-06-06 |
| 1720647357 | Ashley L Moore | Registered Nurse | 3000 Medical Center Pkwy, Bentonville, AR 72712-3217 | 2019-06-07 |
| 1225520356 | Jade Leigh Vinson | Registered Nurse | 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712-3212 | 2018-06-04 |
| 1003343146 | Aliya Fidai | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-19 |
| 1104292465 | Flem-flam Aaron Flemister | Registered Nurse | 1015 Unity Rd, Crossett, AR 71635-9443 | 2015-08-20 |
| 1326425919 | Kristyn Lambert | Registered Nurse | 1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 | 2015-05-03 |
| 1518202233 | Sheryl Ann Lallemand | Registered Nurse | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2012-12-06 |
| 1255688263 | Kevin Michael Lillis | Registered Nurse | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2012-08-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
Please comment or provide details below to improve the information on MS. STACY LEE KENNIGSEDER.
| 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.