MARY E. KENNEDY (NPI# 1669518635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669518635 |
| Entity Type | Individual |
| Full Name | MARY E. KENNEDY |
| Credential | APRN |
| Practice Address |
108 New London Tpke Norwich CT 06360-2645 |
| Practice Telephone | 8608893052 |
| Practice Fax Number | 8608890926 |
| Mailing Telephone | 8608893052 |
| Mailing Fax Number | 8608890926 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
002801 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MK0143444 | 01 | |
| CT | APRN LICENSE NUMBER | 002801 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336418169 | Mary Katherine Kennedy | Developmental Therapist | 10727 Burr Oak Way, Burke, VA 22015-2414 | 2011-12-22 |
| 1568635738 | Mary A Kennedy | Speech-Language Pathologist | 1801 Alfresco Pl, Louisville, KY 40205-1807 | 2008-04-09 |
| 1518095660 | Mary S. Kennedy | Social Worker | 16 Fayette St, Cambridge, MA 02139-1112 | 2007-03-01 |
| 1053455568 | Mary Kathleen Kennedy | Speech-Language Pathologist | 1613 Ginger Dr, Hideaway, TX 75771-5311 | 2007-02-16 |
| 1578656716 | Mary Kennedy | Nurse Practitioner | 105 E Hack St, Cullom, IL 60929 | 2006-10-02 |
| 1093821894 | Mary Kathryn Kennedy | Nurse Anesthetist, Certified Registered | 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 | 2006-08-22 |
| 1992750517 | Mary Kay Kennedy | Social Worker | 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 | 2006-05-23 |
| 1972563757 | Mary M Kennedy | Social Worker | 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 | 2006-03-24 |
| 1861479636 | Mary Theresa Kennedy | Psychologist | 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 | 2005-12-22 |
| 1518471226 | Mary Kennedy | Counselor | 1010 Remington Plz, Raymore, MO 64083-8640 | 2017-11-17 |
| Street Address |
108 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588653596 | Kathleen Bonin | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2005-10-21 |
| 1023479375 | Jeigh Hayes Health and Wellness | Counselor | 108 New London Tpke, Office 3, Suite A, Norwich, CT 06360-2645 | 2016-03-15 |
| 1891130597 | Kelly Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360 | 2013-05-08 |
| 1467600692 | William Scott Cherry | Social Worker | 108 New London Tpke, Norwich Psychiatric Center, Norwich, CT 06360 | 2008-08-29 |
| 1073784369 | Faith Marrion | Social Worker | 108 New London Tpke, Norwich, CT 06360-2645 | 2008-03-14 |
| 1629282181 | Liliana Galan Md LLC | Internal Medicine | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-05-10 |
| 1518003680 | Norwich Psychiatric Center | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1235275256 | Janine D. Sylvia | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1588700538 | Eileen M. Moore | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1760538102 | Walid A. Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215563168 | Michelle Lynn Harris | Nurse Practitioner | 200 W Town St, Norwich, CT 06360-2112 | 2020-03-22 |
| 1164933669 | Eleonore Bayles | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2017-10-24 |
| 1669877189 | Jeremy Booty | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2014-10-27 |
| 1679903983 | Lyndsie Carolyn Ryalls | Nurse Practitioner | 40 Broadway, Norwich, CT 06360-5702 | 2013-11-22 |
| 1588700538 | Eileen M. Moore | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1013060474 | Alice Harding | Nurse Practitioner | 72 New London Tpke, Norwich, CT 06360-2614 | 2007-01-19 |
| 1437232766 | Megan K. Klein | Nurse Practitioner | 12 Case St, Suite 314, Norwich, CT 06360-2222 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
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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.