HEATHER C KENNEDY (NPI# 1447596804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447596804 |
| Entity Type | Individual |
| Full Name | HEATHER C KENNEDY |
| Other Name | HEATHER C LYLES |
| Credential | P.A.-C. |
| Practice Address |
7900 Nw 23rd St Suite 1 Bethany OK 73008-4961 |
| Practice Telephone | 4054703232 |
| Practice Fax Number | 4054703233 |
| Mailing Telephone | 4054703232 |
| Mailing Fax Number | 4054703233 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2191 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2191 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2191 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200506010A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902351281 | Heather Kennedy | Physical Therapist | 745 Primera Blvd., Suite 1021, Lake Mary, FL 32746 | 2016-08-17 |
| 1518277896 | Heather F Kennedy | Contractor | 37 Renwick Ave, Kings Park, NY 11754-3708 | 2010-10-20 |
| 1245397389 | Heather Parker Kennedy | Specialist/Technologist | 480 Exchange Ave, Conway, AR 72032-7808 | 2007-01-01 |
| 1942379888 | Heather Jean Hart Kennedy | Social Worker | 817 N Marshall St, Milwaukee, WI 53202 | 2006-11-07 |
| 1376187120 | Heather Ann Kennedy | Dietitian, Registered | 2000 N Dewey Ave, Reedsburg, WI 53959-1049 | 2019-11-05 |
| 1043681125 | Heather Kennedy | Counselor | 1333 Nw 9th St, Prineville, OR 97754-1482 | 2015-10-14 |
| 1154693802 | Heather Sarah Kennedy | Occupational Therapy Assistant | 4885 Route 9, Staatsburg, NY 12580-6028 | 2012-01-27 |
| 1518254226 | Heather Ann Kennedy | Rehabilitation Practitioner | 2349 Renaissance Dr Ste A, Las Vegas, NV 89119-6191 | 2011-07-01 |
| 1932413416 | Heather Kennedy | Counselor | 124 S 24th St, Suite 230, Omaha, NE 68102-1226 | 2010-07-27 |
| 1821226499 | Heather Aine Kennedy | Family Medicine | 1513 Park Ave, Columbus, WI 53925-1618 | 2009-06-23 |
| Street Address |
7900 NW 23RD ST SUITE 1 |
| City | BETHANY |
| State | OK |
| Zip Code | 73008-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802182 | Sang H. Lee | Emergency Medicine | 7900 Nw 23rd St, Suite 1, Bethany, OK 73008-4961 | 2005-09-23 |
| 1821404377 | Jade Dunn | Nurse Practitioner | 7900 Nw 23rd St, Bethany, OK 73008-4961 | 2014-07-05 |
| 1215369384 | Sang H. Lee, D.o., P.C. | Emergency Medicine | 7900 Nw 23rd St, Suite 1, Bethany, OK 73008-4961 | 2013-07-31 |
| 1821151374 | Gregory Thomas Hardman | Dentist | 7900 Nw 23rd St, Suite 9, Bethany, OK 73008-4961 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
| 1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
| 1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
| 1740660257 | Michael Brobston | Specialist | 6729 Nw 39th Expressway, Bethany, OK 73008 | 2015-06-01 |
| 1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
| 1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
| 1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
| 1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
| 1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
| 1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
| Find all providers in zip 73008 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730656794 | Hillary Ann Bennett | Physician Assistant | 3410 N Rockwell Ave, Bethany, OK 73008-3960 | 2018-10-29 |
| 1356855456 | Alfred Marion Beasler IIi | Physician Assistant | 4802 N College Ave, Bethany, OK 73008-2642 | 2017-11-28 |
| 1356886584 | Meredith Storm | Physician Assistant | 2701 N Rockwell Ave, Bethany, OK 73008-5246 | 2016-12-26 |
| 1275647513 | Candace L. Sturlin | Physician Assistant | 7530 Nw 23rd St, Bethany, OK 73008-4921 | 2006-08-17 |
| 1255303681 | Tamula K Maxwell | Physician Assistant | 3202 Miller St, Bethany, MO 64424-2713 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326496 | Courtland Henderson | Physician Assistant | 2614 Wagon Trl, Enid, OK 73703-1630 | 2020-11-03 |
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1851990097 | Lauren Heim | Physician Assistant | 7324 Bucks Xing, Edmond, OK 73034-3520 | 2020-10-19 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1508464355 | Lauren Danielle Ukleya | Physician Assistant | 1315 Chisholm Trail Pkwy Ste A, Duncan, OK 73533-1544 | 2020-10-14 |
| 1598362964 | Madison Kitchens | Physician Assistant | 471688 Ok-51, Stilwell, OK 74960 | 2020-10-07 |
| 1689271041 | Maissa Baker Mitwalli | Physician Assistant | 700 S Desert Palm Ave, Broken Arrow, OK 74012-8815 | 2020-10-07 |
| 1730705229 | Jenna Specht | Physician Assistant | 2501 N 14th St, Ponca City, OK 74601-1734 | 2020-06-19 |
| 1477176147 | April Dawn Sullivan | Physician Assistant | 1111 Walnut Dr, Ardmore, OK 73401-2354 | 2020-05-28 |
| 1497384754 | Leah Cannady Hester | Physician Assistant | 3145 Midland Valley St, Norman, OK 73069-6970 | 2020-04-07 |
| 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.