MRS. MOLLY MARIE KENNEDY (NPI# 1467558965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467558965 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY MARIE KENNEDY |
| Credential | CPNP |
| Practice Address |
1611 S Green Rd Suite 034 South Euclid OH 44121-4128 |
| Mailing Address |
3074 Coleridge Rd Cleveland Heights OH 44118-3556 |
| Practice Telephone | 2162972700 |
| Practice Fax Number | 2163813770 |
| Mailing Telephone | 2163713996 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
01829 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883974 | Molly Kennedy | Nurse Practitioner | 2655 Ridgeway Ave Ste 480, Rochester, NY 14626-4296 | 2019-07-22 |
| 1851838189 | Molly A Kennedy | Audiologist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-01-25 |
| 1245786839 | Molly Kennedy | Licensed Practical Nurse | 324 South Bayley Hazen Rd, Ryegate, VT 05042 | 2016-09-01 |
| Street Address |
1611 S GREEN RD SUITE 034 |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325983 | Michael Patrick Varley | Ophthalmology | 1611 S Green Rd, South Euclid, OH 44121-4129 | 2005-06-09 |
| 1639783467 | Regan E Shanahan | Physical Therapist | 1611 S Green Rd, South Euclid, OH 44121-4129 | 2020-08-31 |
| 1619313970 | Nicholas Freeman Volchko | Anesthesiology | 1611 S Green Rd, South Euclid, OH 44121-4129 | 2013-05-14 |
| 1689910739 | The Endoscopy Center At Bainbridge, LLC | Clinic/Center | 1611 S Green Rd, South Euclid, OH 44121-4129 | 2012-12-18 |
| 1801151477 | Ryan Daniel Supler | Physical Therapist | 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 | 2012-07-10 |
| 1750654414 | John M Campolieti | Physical Therapist | 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 | 2012-02-10 |
| 1437454477 | University Hospitals Medical Group, Inc. | Surgery | 1611 S Green Rd, Suite 107, South Euclid, OH 44121-4129 | 2011-01-24 |
| 1477858645 | Mickie Guarino Newland | Physical Therapist | 1611 S Green Rd, Suite 036, South Euclid, OH 44121-4129 | 2011-01-20 |
| 1477862571 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 1611 S Green Rd, Suite 204, South Euclid, OH 44121-4129 | 2010-10-07 |
| 1932418746 | University Hospitals Medical Group, Inc. | Urology | 1611 S Green Rd, Suite 106, South Euclid, OH 44121-4129 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386801447 | Kristina Banks | Nurse Practitioner | 2054 S Green Rd, South Euclid, OH 44121-4243 | 2008-05-16 |
| 1407380637 | Sarah Mendlovic | Nurse Practitioner | 2054 S Green Rd, South Euclid, OH 44121-4243 | 2017-04-13 |
| 1952704918 | Taylor V Knight | Nurse Practitioner | 2054 South Green Road, Senders Pediatrics, South Euclid, OH 44121 | 2014-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
Please comment or provide details below to improve the information on MRS. MOLLY MARIE 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.