JESSICA K KENNEDY (NPI# 1528493368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528493368 |
| Entity Type | Individual |
| Full Name | JESSICA K KENNEDY |
| Credential | PA-C |
| Practice Address |
3212 E 104th Ave Thornton CO 80233-4406 |
| Practice Telephone | 3038617878 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA0004631 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0110004318 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 813 Independence Blvd, Ste A, Virginia Beach, VA 234556004 | 7573337625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978534 | Jessica Marie Kennedy | Registered Nurse | 6401 Fay Ranch Rd, Weldon, CA 93283-9735 | 2020-10-05 |
| 1346872462 | Jessica Marie Kennedy | Case Manager/Care Coordinator | 80 Erdman Way Ste 280, Leominster, MA 01453-1818 | 2020-02-06 |
| 1659705655 | Jessica Hyams Kennedy | Anesthesiologist Assistant | 820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208 | 2013-08-26 |
| 1932332731 | Jessica M Kennedy | Internal Medicine | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657 | 2009-08-26 |
| 1821256165 | Jessica Renee Kennedy | Developmental Therapist | 1065 Greenway Dr, Elizabethtown, KY 42701-9005 | 2008-05-22 |
| 1730719048 | Jessica Catherine Kennedy | Behavior Technician | 5163 Roswell Rd, Atlanta, GA 30342-2206 | 2020-01-26 |
| 1225672751 | Jessica Nicholl Kennedy | Registered Nurse | 2001 The Alameda, San Jose, CA 95126 | 2019-10-28 |
| 1952863078 | Jessica Rene' Kennedy | Nurse Practitioner | 7125 S Braden Ave, Tulsa, OK 74136-6302 | 2019-04-05 |
| 1417416355 | Jessica Kennedy | Student in an Organized Health Care Education/Training Program | 300 Community Dr, Gme, Manhasset, NY 11030 | 2019-03-19 |
| 1619432168 | Jessica A Kennedy | Occupational Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2019-02-08 |
| Street Address |
3212 E 104TH AVE |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114008851 | Afterours Inc | Clinic/Center | 3212 E 104th Ave, Thornton, CO 80233-4406 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068189 | Lamya Chughtai | Physician Assistant | 16572 Gilpin St, Thornton, CO 80602-7646 | 2020-09-17 |
| 1871058131 | Kylie Ann Money | Physician Assistant | 2765 E 118th Ct, Thornton, CO 80233-1453 | 2019-01-31 |
| 1578938890 | Morgan M Guthrie | Physician Assistant | 9720 Grant St, Thornton, CO 80229-2154 | 2015-12-11 |
| 1497814982 | Neil D Smith | Physician Assistant | 13631 Colorado Blvd, Thornton, CO 80602-7051 | 2006-12-08 |
| 1356427348 | Mary Elizabeth Coffin | Physician Assistant | 9451 Huron St, Thornton, CO 80260-5426 | 2006-10-31 |
| 1275620155 | Robert M Botnick | Physician Assistant | 9195 Grant Street #120, North Denver Orthopedic Specialists, Thornton, CO 80229-4386 | 2006-10-10 |
| 1366049173 | The Little Clinic of Colorado LLC | Physician Assistant | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2020-10-05 |
| 1598379059 | Megan Catherine Cousins | Physician Assistant | 9195 Grant St Ste 410, Thornton, CO 80229-4388 | 2020-09-02 |
| 1851943302 | Abigail Bice | Physician Assistant | 9191 Huron St, Thornton, CO 80260-6842 | 2019-07-15 |
| 1912559618 | Matthew Bickelhaupt | Physician Assistant | 9191 Grant St, Thornton, CO 80229-4361 | 2019-07-12 |
| Find all providers in THORNTON | ||||
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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.