MRS. KATHLEEN KENNEDY (NPI# 1609405489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609405489 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN KENNEDY |
| Credential | RN, IBCLC |
| Practice Address |
7150 Sw Dartmouth St Tigard OR 97223-7614 |
| Mailing Address |
8112 Sw 56th Ave Portland OR 97219-3223 |
| Practice Telephone | 5039683480 |
| Mailing Telephone | 5037803172 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
200440164RN | OR | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2701 Nw Vaughn St Ste 360, Portland, OR 972105376 | 5032270671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255868121 | Kathleen Marie Kennedy | Social Worker | 3106 S W S Young Dr Ste 201b, Killeen, TX 76542-2008 | 2017-05-22 |
| 1285949248 | Kathleen Ruth Kennedy | Occupational Therapist | 131 Elizabeth Ave, Belvedere, SC 29841-2422 | 2010-08-15 |
| 1275727026 | Kathleen Kennedy | Dentist | 5700 N Sheridan Rd, Chicago, IL 60660-8769 | 2007-09-04 |
| 1356440804 | Kathleen Grace Kennedy | Optometrist | 552 Castro St, San Francisco, CA 94114-2512 | 2006-09-21 |
| 1528080967 | Kathleen April Kennedy | Internal Medicine | 892 Aerovista Pl Ste 130, San Luis Obispo, CA 93401-8054 | 2006-07-24 |
| 1841718210 | Kathleen Kennedy | Registered Nurse | 10440 Little Patuxent Pkwy Ste 800, Columbia, MD 21044-3569 | 2017-09-06 |
| 1821522871 | Kathleen Kennedy | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2017-04-17 |
| 1477096642 | Kathleen Kennedy | Registered Nurse | 2052 S Dye Rd, Flint, MI 48532-4122 | 2016-11-21 |
| 1841658358 | Kathleen Kennedy | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-01-29 |
| 1487983813 | Kathleen Anne Kennedy | Counselor | 3000 United Founders Blvd, 239, Oklahoma City, OK 73112-3958 | 2009-12-14 |
| Street Address |
7150 SW DARTMOUTH ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083989206 | Peter Reed | Pediatrics | 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | 2012-03-21 |
| 1508225392 | Ellen Portrait | Registered Nurse | 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | 2016-02-22 |
| 1558771873 | Richelle Mary Neal | Pediatrics | 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | 2014-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508225392 | Ellen Portrait | Registered Nurse | 7150 Sw Dartmouth St, Tigard, OR 97223-7614 | 2016-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169484 | Rebecca Joanne West Jaquette | Registered Nurse | 705 Louis St, Eugene, OR 97402-2122 | 2020-03-19 |
| 1891321402 | Sarah Imig | Registered Nurse | 4665 Manzanita St, Eugene, OR 97405-4693 | 2020-03-14 |
| 1952950487 | Kelly Telfer | Registered Nurse | 70120 Mckenzie Canyon Rd, Sisters, OR 97759-9742 | 2019-09-07 |
| 1528624970 | Lisa Gonzales | Registered Nurse | 32050 Sw Willamette Way E, Wilsonville, OR 97070-9596 | 2019-05-11 |
| 1619433224 | Danica Jean Zapata Stiles | Registered Nurse | 1592 Grove St, Eugene, OR 97404-3901 | 2019-02-19 |
| 1568953040 | Doris Ann Onnis | Registered Nurse | 9155 Sw Barnes Rd Ste 730, Portland, OR 97225-6634 | 2018-05-21 |
| 1386183812 | Lullaby Lactation LLC | Registered Nurse | 39643 Nw Murtaugh Rd, North Plains, OR 97133-6143 | 2017-02-16 |
| 1891147294 | Lauren Marie O'duin | Registered Nurse | 106 Sw Woods St Ste A, Portland, OR 97201-4739 | 2016-07-08 |
| 1346698032 | Marilyn Joanne Watkins | Registered Nurse | 5199 Nw Elm Ave, Redmond, OR 97756-8898 | 2016-06-02 |
| 1457717563 | Winn Asay | Registered Nurse | 1442 Ne 71st Ave, Portland, OR 97213-5307 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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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.