JACQUELINE ROQUE KENNEDY (NPI# 1528341153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528341153 |
| Entity Type | Individual |
| Full Name | JACQUELINE ROQUE KENNEDY |
| Other Name | JACQUELINE ROQUE |
| Practice Address |
1034 Oak Grove Rd Concord CA 94518-3225 |
| Practice Telephone | 9256031900 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609877653 | Jacqueline F Kennedy | Nurse Practitioner | 181 State Rd, Whately, MA 01093 | 2005-08-02 |
| 1447887468 | Jacqueline Kennedy | Technician, Health Information | 300 W Main St, Medford, OR 97501-2756 | 2020-03-27 |
| 1629633920 | Jacqueline Estella Kennedy | Case Manager/Care Coordinator | 525 E Bonanza Rd, Las Vegas, NV 89101-3038 | 2019-05-02 |
| 1588108674 | Jacqueline Marie Kennedy | Registered Nurse | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2016-12-08 |
| 1336235621 | Jacqueline Kennedy | Psychologist | 930 S Detroit Ave, Toledo, OH 43614-2701 | 2006-10-05 |
| Street Address |
1034 OAK GROVE RD |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063582203 | Joy Lynn Richardson | Social Worker | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2006-11-08 |
| 1104309897 | Brandon Thomas Mcguire | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2018-09-10 |
| 1770028110 | Tyisha Merritt | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2016-12-20 |
| 1487076634 | Jacklyn Ocanas | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2014-01-07 |
| 1871922567 | Agustina Berrocal | Marriage & Family Therapist | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2013-11-04 |
| 1356680193 | Venet Cremona-thompson | Occupational Therapist | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2013-02-13 |
| 1538408877 | Victoria Howard | Occupational Therapist | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2013-02-06 |
| 1588939789 | Danielle Grace Perez | Marriage & Family Therapist | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2012-03-20 |
| 1922381557 | Lisa Carrozzi | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2011-09-20 |
| 1114200748 | Danee K. Black | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.