MRS. LESLIE H. KENNEDY (NPI# 1417271677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417271677 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE H. KENNEDY |
| Credential | NP |
| Practice Address |
101 East Street Suite 401 Spartanburg SC 29303-3040 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645606654 |
| Practice Fax Number | 8645606017 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 77079 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004720 | 05 | |
| SC | MEDICARE PIN | AA54586067 | 01 |
| SC | MEDICARE PIN | AA54589068 | 01 |
| SC | MEDICARE PIN | AA54589225 | 01 |
| SC | NP1936 | 05 | |
| SC | MEDICARE PIN | AA54583365 | 01 |
| SC | MEDICARE PIN | AA54585019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332760 | Leslie Jean Kennedy | Occupational Therapist | 1140 W Main St, Attn: Rehabcare, Christiansburg, VA 24073-4222 | 2015-04-02 |
| 1386060788 | Leslie Dawn Kennedy | Speech-Language Pathologist | 305 Mckinley Ave Nw, Canton, OH 44702-1717 | 2014-03-10 |
| 1699765156 | Leslie A Kennedy | Radiology | 3201 W Highway 22, Corsicana, TX 75110-2450 | 2005-10-26 |
| Street Address |
101 EAST STREET SUITE 401 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1275011652 | Tri-state Medical Supplies, North Grove | Durable Medical Equipment & Medical Supplies | 1330 Boiling Springs Rd Ste 2900, Spartanburg, SC 29303 | 2018-07-30 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| Find all providers in zip 29303 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326542887 | Timekia Renee Hill | Nurse Practitioner | 420 Farnsworth Rd, Spartanburg, SC 29301-1626 | 2018-03-20 |
| 1144697384 | Clint Price | Nurse Practitioner | 2030 North Church Street, Lung and Chest Medical Associates, Spartanburg, SC 29303-3909 | 2015-08-24 |
| 1649352873 | Helen Rowena Valentine | Nurse Practitioner | 151 E Wood St, Spartanburg, SC 29303-3016 | 2006-10-19 |
| 1851373021 | Kim Waldenmaier | Nurse Practitioner | 101 E Wood St Ste 330, Spartanburg, SC 29303-3040 | 2005-11-15 |
| 1033738323 | Emily Randall Caldwell | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2020-04-16 |
| 1548896616 | April Leanne Gossett | Nurse Practitioner | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2020-03-20 |
| 1467086959 | Andrew Mccraw | Nurse Practitioner | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2020-02-24 |
| 1689206690 | Catherine Lee Jenkins | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-02-07 |
| 1770113920 | Jessica Massey Medlin | Nurse Practitioner | 400 Locust Grv, Spartanburg, SC 29303-4831 | 2020-01-16 |
| 1225677297 | Alisha Cartledge | Nurse Practitioner | 1650 Skylyn Dr Ste 240, Spartanburg, SC 29307-1069 | 2019-12-23 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on MRS. LESLIE H. KENNEDY.
| 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.