MS. TARSHA CHAMAINE KENNEDY (NPI# 1497244875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497244875 |
| Entity Type | Individual |
| Full Name | MS. TARSHA CHAMAINE KENNEDY |
| Credential | NP-C |
| Practice Address |
400 Sycamore Ln Apt 302 Woodstock GA 30188-7318 |
| Practice Telephone | 6785592301 |
| Mailing Telephone | 6785592301 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN212603 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 SYCAMORE LN APT 302 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952927493 | Lauren Galbraith Agee | Nurse Practitioner | 900 Towne Lake Pkwy Ste 104, Woodstock, GA 30189-1603 | 2020-06-21 |
| 1922620798 | Brandy Bentley | Nurse Practitioner | 9670 Main St, Woodstock, GA 30188-3916 | 2020-05-14 |
| 1609407600 | Holly Caroline Walsh | Nurse Practitioner | 325 Alcovy Way, Woodstock, GA 30188-3329 | 2020-01-29 |
| 1366095135 | Stephanie Fagbemi | Nurse Practitioner | 295 Molly Ln Ste A101, Woodstock, GA 30189-3760 | 2019-07-22 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1912407719 | Qrc 360 Enterprises | Nurse Practitioner | 12195 Highway 92 Ste 144, Woodstock, GA 30188-3603 | 2018-02-19 |
| 1942700729 | Jiwon Yoo | Nurse Practitioner | 310 Gold Creek Trl Ste 200, Woodstock, GA 30188-5436 | 2018-02-18 |
| 1811418650 | Sophia A Kennedy | Nurse Practitioner | 203 Woodpark Pl Ste 102, Woodstock, GA 30188-3705 | 2017-07-02 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1821434572 | Magen Ann Nessi | Nurse Practitioner | 900 Towne Lake Pkwy Ste 200, Woodstock, GA 30189-1603 | 2013-05-21 |
| Find all providers in WOODSTOCK | ||||
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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.