JESSICA KENNEN (NPI# 1417334129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417334129 |
| Entity Type | Individual |
| Full Name | JESSICA KENNEN |
| Credential | CPNP |
| Practice Address |
10 Winthrop St Worcester MA 01604-4435 |
| Mailing Address |
185 Paxton Rd Spencer MA 01562-1425 |
| Practice Telephone | 5087533120 |
| Mailing Telephone | 5087688610 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
269798 | MA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
269798 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 WINTHROP ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408971 | David W. Connors, Md, P.C. | Specialist | 10 Winthrop St, Worcester, MA 01604-4435 | 2005-06-23 |
| 1437500055 | Firstcare Dermatology of Worcester, LLC | Dermatology | 10 Winthrop St, Worcester, MA 01604-4435 | 2016-06-24 |
| 1598114761 | Cale Forgues | Dentist | 10 Winthrop St, Worcester, MA 01604-4435 | 2016-06-08 |
| 1659758977 | Peter P. Tomaiolo Md, PC | Clinic/Center | 10 Winthrop St, Worcester, MA 01604-4435 | 2015-05-06 |
| 1326315862 | Vernon Hill Pediatric Dentistry | Dentist | 10 Winthrop St, #317/318, Worcester, MA 01604-4435 | 2011-11-29 |
| 1982912481 | Himabindu Muddana | Pediatrics | 10 Winthrop St, Dr. Babu Pediatrics, PC, Worcester, MA 01604-4435 | 2010-09-17 |
| 1881829299 | Worcester Orthodontics, PC | Dentist | 10 Winthrop St, #217, Worcester, MA 01604-4435 | 2009-05-29 |
| 1669624888 | Jungsoo Moon | Dentist | 10 Winthrop St, Worcester, MA 01604-4435 | 2008-10-21 |
| 1205086980 | Scheffel Foot Center, PC | Podiatrist | 10 Winthrop St, Worcester, MA 01604-4435 | 2008-09-30 |
| 1114175627 | Vernon Integrative Medical Group LLC | Internal Medicine | 10 Winthrop St, Worcester, MA 01604 | 2008-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679696363 | Leanne Mazeika | Nurse Practitioner | 123 Summer St Ste 690, Worcester, MA 01608-1216 | 2007-04-09 |
| 1295341410 | Cody Matthew Deeds | Nurse Practitioner | 10 Winthrop St Ste 319, Worcester, MA 01604-4438 | 2020-09-22 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1821532391 | Kelsey Lynn Vannostrand | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-12-18 |
| 1225580871 | Samantha Duncan | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-10-31 |
| 1083098107 | Alyssa Ann Sundstrom | Nurse Practitioner | 630 Plantation St, Wot 12th Fl, Worcester, MA 01605-2038 | 2015-07-18 |
| 1699101188 | Johanna Mcdermott | Nurse Practitioner | 119 Belmont St, Worcester, MA 01605 | 2013-09-17 |
| 1285079269 | Elizabeth F Denver | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2013-05-06 |
| 1053568048 | Karen Courtney Shellenbarger | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655 | 2008-08-21 |
| 1902088743 | Marilyn Jean Cowan | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2007-12-04 |
| Find all providers in WORCESTER | ||||
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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.