PRISCILLA KENNEDY (NPI# 1538779954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538779954 |
| Entity Type | Individual |
| Full Name | PRISCILLA KENNEDY |
| Practice Address |
1234 Napier Ave Saint Joseph MI 49085-2112 |
| Mailing Address |
3005 Lakeshore Dr Apt 208 Saint Joseph MI 49085-2355 |
| Practice Telephone | 2699838300 |
| Mailing Telephone | 2623526723 |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2020-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1234 NAPIER AVE |
| City | SAINT JOSEPH |
| State | MI |
| Zip Code | 49085-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282456 | Ewanah D Johnson | Internal Medicine | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2005-08-19 |
| 1497355010 | Suzanne Arlene Arendt | Registered Nurse | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-11-01 |
| 1053918748 | Katlyn Slowik | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-10-06 |
| 1578175261 | Megan Elizabeth Schluentz | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-23 |
| 1700494226 | Sara Saliba | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1730797101 | Spandana Alla | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1013525047 | Sunny Patel | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-15 |
| 1205454402 | Alexis Kristina Welsh | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-14 |
| 1639797020 | Yamann Sahlool | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-11 |
| 1275150344 | Daniel Davenport | Physician Assistant | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
| 1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
| 1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
| 1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
| 1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
| Find all providers in zip 49085 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
| 1083242317 | Isabel Sim-campos | Student in an Organized Health Care Education/Training Program | 9219 295th St, Saint Joseph, MN 56374-9699 | 2020-03-31 |
| 1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
| 1043795099 | Gabriella Andrews | Student in an Organized Health Care Education/Training Program | 1470 Brentwood Dr, Saint Joseph, MI 49085-9761 | 2018-09-26 |
| 1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
| 1710494067 | Elijah James Kubath | Student in an Organized Health Care Education/Training Program | 4595 Lincoln Ave, Saint Joseph, MI 49085-8709 | 2018-01-09 |
| 1578175261 | Megan Elizabeth Schluentz | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-08-23 |
| 1700494226 | Sara Saliba | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1730797101 | Spandana Alla | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-07-21 |
| 1730797366 | Sara Sutherland | Student in an Organized Health Care Education/Training Program | 3900 Hollywood Rd, Saint Joseph, MI 49085-9149 | 2020-07-20 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
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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.