KATHRYN KENNEDY (NPI# 1679001895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679001895 |
| Entity Type | Individual |
| Full Name | KATHRYN KENNEDY |
| Practice Address |
2065 Half Day Rd Bannockburn IL 60015 |
| Mailing Address |
3925 Shoreline Dr Hanover Park IL 60133-6136 |
| Practice Telephone | 8473177136 |
| Mailing Telephone | 6302347792 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 709 S Deakin St, Moscow, ID 838449802 | 2088856111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679093397 | Kathryn Marie Kennedy | Assistant Behavior Analyst | 119 Ewell Ct, Summerville, SC 29486-1961 | 2017-06-23 |
| 1982151197 | Kathryn Kennedy | Counselor | 920 S Dubuque St, Iowa City, IA 52240-4206 | 2016-09-06 |
| 1043325194 | Kathryn Lynn Kennedy | Dentist | 331 W 63rd St, Westmont, IL 60559 | 2006-08-20 |
| 1932562725 | Kathryn Kennedy | Obstetrics & Gynecology | 35 Monument Rd Ste 206, York, PA 17403-5074 | 2016-03-30 |
| 1780020750 | Kathryn Ann Kennedy | Registered Nurse | 1400 N Ritter Ave, Suite 520, Indianapolis, IN 46219-3052 | 2013-05-17 |
| 1659678043 | Kathryn Elisabeth Kennedy | Nurse Practitioner | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2011-02-21 |
| 1356668420 | Kathryn Ann Kennedy | Speech-Language Pathologist | 2 Forest Ct, Rock Island, IL 61201-7538 | 2010-04-28 |
| 1427088020 | Kathryn Kay Kennedy | Psychiatry & Neurology | 1666 E Bert Kouns Loop, Suite 220, Shreveport, LA 71105-5714 | 2006-07-03 |
| Street Address |
2065 HALF DAY RD |
| City | BANNOCKBURN |
| State | IL |
| Zip Code | 60015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649249400 | Kathryn Anne Webster | Specialist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2006-03-15 |
| 1538614227 | Peter Cui | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2016-08-23 |
| 1750591913 | Greta Elin Schutte | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2007-05-23 |
| 1073660569 | Angela Marie Ferguson | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2007-01-05 |
| 1366479149 | Karl John Glass | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126679 | Jaclyn Kristen Kelly | Specialist/Technologist | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 | 2006-03-07 |
| 1538614227 | Peter Cui | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2016-08-23 |
| 1750591913 | Greta Elin Schutte | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2007-05-23 |
| 1073660569 | Angela Marie Ferguson | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2007-01-05 |
| 1366479149 | Karl John Glass | Specialist/Technologist | 2065 Half Day Rd, Bannockburn, IL 60015-1241 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
| City | BANNOCKBURN |
| Zip Code | 60015 |
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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.