DR. NICOLE KENNEDY (NPI# 1487169371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487169371 |
| Entity Type | Individual |
| Full Name | DR. NICOLE KENNEDY |
| Other Name | MS. NICOLE PEASE |
| Credential | DC |
| Practice Address |
5253 Ne Sandy Blvd Portland OR 97213-2562 |
| Mailing Address |
25365 Nw Moreland Rd North Plains OR 97133-9206 |
| Practice Telephone | 5038935131 |
| Mailing Telephone | 9712321566 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5855 | OR | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25365 Nw Moreland Rd, North Plains, OR 971339206 | 9712321566 | |
| 3307 19th Ave, Forest Grove, OR 971161909 | 5033892248 | 5034331831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427569987 | Nicole Elizabeth Kennedy | Pharmacist | 343 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-23 |
| 1609231174 | Nicole L Kennedy | Specialist | 5225 Sandusky Rd, Lima, OH 45801-8734 | 2015-12-28 |
| 1730412958 | Nicole Dyan Kennedy | Physician Assistant | 850 East Harvard Avenue, Suite 285, Denver, CO 80210 | 2009-09-08 |
| 1528145398 | Nicole Celeste Kennedy | Physical Therapist | 612 W Carolina Ave, Hartsville, SC 29550-4410 | 2006-11-01 |
| 1649232372 | Nicole Shuff Kennedy | Nurse Practitioner | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2006-04-06 |
| 1659996783 | Nicole Kennedy | Student in an Organized Health Care Education/Training Program | 399 Lincoln Rd, Walpole, MA 02081-1218 | 2020-06-15 |
| 1568942415 | Nicole Rose Kennedy | Student in an Organized Health Care Education/Training Program | 1014 Main Street, Vancouver, WA 98660 | 2018-08-20 |
| 1164913489 | Nicole Marie Kennedy | Counselor | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2018-05-22 |
| 1295236842 | Nicole Jean Kennedy | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2018-02-27 |
| 1952843252 | Nicole K.a. Kennedy | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2016-11-17 |
| Street Address |
5253 NE SANDY BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043532963 | Jonathan William Mcclaren | Chiropractor | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2010-02-18 |
| 1457981045 | Taylor Walker | Massage Therapist | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2020-01-22 |
| 1861989386 | Catherine Soncrant | Massage Therapist | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2018-04-19 |
| 1528436276 | Molly Mcmullen | Massage Therapist | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2015-09-11 |
| 1134566573 | Loretta Marie Grisaffi | Massage Therapist | 5253 Ne Sandy Blvd, Portland, OR 97213 | 2013-05-24 |
| 1326369398 | Cascade Spine & Injury Center, LLC | Clinic/Center | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2010-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486958 | Amy Elizabeth Goebel | Chiropractor | 5103 Se Stark St Apt B, Portland, OR 97215-1764 | 2020-10-27 |
| 1003423914 | Evergreen Chiropractic PC | Chiropractor | 7145 Sw Varns St Ste 203, Portland, OR 97223-8168 | 2020-09-24 |
| 1750993283 | University of Western States Healthcare Inc | Chiropractor | 8000 Ne Tillamook St, Portland, OR 97213-6655 | 2020-08-17 |
| 1518587989 | Kristy Pearl Arneson | Chiropractor | 3715 Se Cesar E Chavez Blvd, Portland, OR 97202-1704 | 2020-04-25 |
| 1770102956 | Behireta Corbadzic | Chiropractor | 12923 Se Foster Rd Unit G703, Portland, OR 97236-4702 | 2020-04-08 |
| 1134754427 | Bonnie Anderson | Chiropractor | 3539 N Williams Ave Ste 202a, Portland, OR 97227-1437 | 2020-03-06 |
| 1629601372 | Megan Adele Robles | Chiropractor | 2100 Ne Broadway St Ste 255, Portland, OR 97232-1544 | 2020-02-20 |
| 1306479472 | Naomi M Enos-burles | Chiropractor | 7332 Sw 13th Dr Apt A, Portland, OR 97219-2089 | 2020-02-18 |
| 1184256927 | Michael Nicosia | Chiropractor | 207 Santa Monica St, Portland, TX 78374-2645 | 2020-02-10 |
| 1942832258 | Tracy Yvonne Still | Chiropractor | 3905b Ne Grand Ave Unit B, Portland, OR 97212-1107 | 2020-02-05 |
| Find all providers in PORTLAND | ||||
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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.