SHANNON M KENNEDY (NPI# 1629615729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629615729 |
| Entity Type | Individual |
| Full Name | SHANNON M KENNEDY |
| Practice Address |
8915 Sw Center St Tigard OR 97223-6307 |
| Practice Telephone | 5037263690 |
| Mailing Telephone | 5037263690 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |
| 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 |
|---|---|---|---|---|
| 1336612340 | Shannon Kennedy | Specialist/Technologist | 615 Irving Schottenstein Dr., Columbus, OH 43210 | 2019-01-03 |
| 1730676263 | Shannon Lynn Kennedy | Massage Therapist | 995 Westwood Sq Ste A, Oviedo, FL 32765-9049 | 2018-04-19 |
| 1861900086 | Shannon Kennedy | Licensed Practical Nurse | 23 Riverview Rd, Binghamton, NY 13901-1922 | 2018-01-22 |
| 1902159486 | Shannon Marie Kennedy | Pharmacist | 1477 Maccorkle Ave, Saint Albans, WV 25177-1826 | 2012-10-20 |
| 1316554363 | Shannon Nicole Kennedy | Behavior Technician | 5900 Warm Springs Rd, Columbus, GA 31909-4362 | 2020-09-24 |
| 1871128090 | Shannon Eileen Kennedy | Chiropractor | 12744 S Pflumm Rd, Olathe, KS 66062-3664 | 2020-03-09 |
| 1336629575 | Shannon Kennedy | Speech-Language Pathologist | 134 W 26th St Rm 602, New York, NY 10001-6803 | 2018-08-16 |
| 1376943480 | Shannon Kennedy | Social Worker | 7621 Little Rd, Suite 200, New Port Richey, FL 34654-5567 | 2014-08-26 |
| 1790110849 | Shannon Margaret Kennedy | Case Manager/Care Coordinator | 848 Central St, Framingham, MA 01701-4815 | 2013-09-09 |
| 1336492818 | Shannon Kennedy | Pharmacist | 4238 W Hundred Rd, Chester, VA 23831-1505 | 2012-10-20 |
| Street Address |
8915 SW CENTER ST |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265595664 | Luke-dorf | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2006-12-18 |
| 1710587357 | Jo Fish | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-30 |
| 1750981668 | Mason Lorenzo Pfeifer | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-29 |
| 1326645060 | Hernando Hernandez Jr. | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-10-06 |
| 1053928473 | Lori Jean Sherlock | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-29 |
| 1508472150 | William Van Sant | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-18 |
| 1750996112 | Ali Janelle Swetland | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-12 |
| 1124632526 | Cloey Layton | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-09-02 |
| 1770197501 | Christina Marie Herrera | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-08-31 |
| 1396358289 | Alisia Foster | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-08-28 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016586 | Lu Lu | Counselor | 12460 Sw Anton Dr, Tigard, OR 97223-3390 | 2020-05-29 |
| 1558980490 | Jeanelle Turner | Counselor | 6975 Sw Sandburg St Ste 250, Tigard, OR 97223-8088 | 2020-04-10 |
| 1962036483 | Demi Keitel | Counselor | 7100 Sw Hampton St Ste 223, Tigard, OR 97223-8364 | 2020-02-24 |
| 1902442643 | Gina Michelle Worley | Counselor | 9370 Sw Greenburg Rd Ste 210, Tigard, OR 97223-5442 | 2019-11-18 |
| 1588210249 | Kelly Anne Arnold | Counselor | 9430 Sw Coral St Ste 204, Tigard, OR 97223-6693 | 2019-08-16 |
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1114499068 | Angelie Karabatsos | Counselor | 6950 Sw Hampton St Ste 205, Tigard, OR 97223-8381 | 2018-12-17 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1366941775 | Zainab Abdullah | Counselor | 11380 Sw Greenburg Rd Apt 9, Tigard, OR 97223-5357 | 2018-02-12 |
| 1962924050 | Paige Schickedanz Family Counseling | Counselor | 9370 Sw Greenburg Rd Ste 411, Tigard, OR 97223-5427 | 2017-07-11 |
| Find all providers in TIGARD | ||||
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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.