AMY A KENNEMORE (NPI# 1518147776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518147776 |
| Entity Type | Individual |
| Full Name | AMY A KENNEMORE |
| Credential | RN, APN-BC |
| Practice Address |
1002 Texas Blvd Ste 325 Texarkana TX 75501-5118 |
| Mailing Address |
1409 Leona Dr Ashdown AR 71822-3105 |
| Practice Telephone | 9037946544 |
| Mailing Telephone | 9038265020 |
| Mailing Fax Number | 9037646546 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R63145 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1002 TEXAS BLVD STE 325 |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609920 | Jamie Patterson | Nurse Practitioner | 6018 Summerwood Ln, Texarkana, AR 71854-9403 | 2017-03-03 |
| 1194090787 | Candace Ann Hambleton | Nurse Practitioner | 5602 Richmond Rd Ste 104, Texarkana, TX 75503-0877 | 2012-03-14 |
| 1891955043 | Charles Shoalmire Jr. | Nurse Practitioner | 2604 Saint Michael Dr Ste 345, Texarkana, TX 75503-2378 | 2008-06-11 |
| 1417416819 | Erin Mccasland | Nurse Practitioner | 5730 Summerhill Rd, Texarkana, TX 75503-1635 | 2019-03-15 |
| 1467939975 | John Benjamin Harrison | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2018-07-26 |
| 1629420310 | Tanya Lynn Austin | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2016-07-06 |
| 1730583840 | Jacob Kelton | Nurse Practitioner | 2600 Saint Michael Dr, Texarkana, TX 75503-5220 | 2014-10-17 |
| 1144623356 | Michael Thomas Crabtree | Nurse Practitioner | 4105 N Kings Hwy, Texarkana, TX 75503-4861 | 2014-10-01 |
| 1699066969 | Mandy Michelle Carter | Nurse Practitioner | 921 Texas Blvd Ste D, Texarkana, TX 75501-5163 | 2011-04-21 |
| 1669665964 | Shannon Larie Mitchell | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2007-08-21 |
| Find all providers in TEXARKANA | ||||
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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.