DR. ANGELA ANN KENNEDY (NPI# 1700972320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700972320 |
| Entity Type | Individual |
| Full Name | DR. ANGELA ANN KENNEDY |
| Credential | PSYD,LP |
| Practice Address |
21081 County Highway 1 Fergus Falls MN 56537-7603 |
| Practice Telephone | 2187366987 |
| Practice Fax Number | 2187366980 |
| Mailing Telephone | 2187366987 |
| Mailing Fax Number | 2187366980 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | LP4330 | MN | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP4330 | MN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
LP4330 | MN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
LP4330 | MN | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
LP4330 | MN | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
LP4330 | MN | Behavioral Health & Social Service Providers |
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
LP4330 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967339 | Angela Kennedy | Student in an Organized Health Care Education/Training Program | 12180 Park Ave S Pacific Lutheran University, Tacoma, WA 98447-0001 | 2019-11-21 |
| 1144717596 | Angela Kennedy | Social Worker | 5 Mdg 194 Missile Avenue, Minot Afb, ND 58705 | 2018-04-20 |
| 1215056916 | Angela Kennedy | Physical Therapist | 3818 E Montecito Ave, Phoenix, AZ 85018-4130 | 2007-03-27 |
| 1225510993 | Angela Kennedy | Counselor | 100 Hall St, Concord, NH 03301-3408 | 2018-08-30 |
| 1124533286 | Angela Zenovia Kennedy | Counselor | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2017-12-11 |
| 1205265907 | Angela Kennedy | Social Worker | 1025 Morehead Medical Dr, Charlotte, NC 28204-2963 | 2013-11-04 |
| 1700025988 | Angela Jean Kennedy | Speech-Language Pathologist | 620 N Alleghaney Ave, Odessa, TX 79761-4408 | 2009-02-12 |
| 1316153463 | Angela Jane Kennedy | Emergency Medicine | 1717 Main St, Suite 5200, Dallas, TX 75201-4612 | 2007-05-15 |
| 1861619041 | Angela M Kennedy | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2007-04-19 |
| 1427086552 | Angela M Kennedy | Chiropractor | 5088 66th St N, St Petersburg, FL 33709-3120 | 2006-06-29 |
| Street Address |
21081 COUNTY HIGHWAY 1 |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-7603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374307 | Erin Elizabeth Swenson | Social Worker | 21081 County Highway 1, Fergus Falls, MN 56537-7603 | 2011-10-27 |
| 1679879381 | Ronna Rae Severson | Social Worker | 21081 County Highway 1, Fergus Falls, MN 56537-7603 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104477819 | Lysne Consulting & Counseling | Psychologist | 225 W Cavour Ave Ste C, Fergus Falls, MN 56537-2140 | 2019-09-24 |
| 1538410246 | Riley Bruce Neuhardt | Psychologist | 1801 W Alcott Ave, Fergus Falls, MN 56537-2661 | 2012-09-21 |
| 1316158439 | Christianne M Lysne | Psychologist | 225 W Cavour Ave, Fergus Falls, MN 56537-2103 | 2007-05-24 |
| 1134293400 | Richard Anthony Blackburn | Psychologist | 1400 N Union Ave, Fergus Falls, MN 56537-1248 | 2006-11-20 |
| 1366530008 | Mark Carl Lysne | Psychologist | 225 W Cavour Ave, Fergus Falls, MN 56537-2103 | 2006-10-10 |
| 1598797185 | Mary K. Schmidt | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-07-06 |
| 1104869049 | Ricardo P. Ascano | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1720021751 | Gerald E. Ziesemer | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-14 |
| 1750321782 | Kathleen R. Schara | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-06-07 |
| 1912954728 | Nathanael M Larsen | Psychologist | 126 E Alcott Ave, Fergus Falls, MN 56537-2903 | 2006-05-27 |
| Find all providers in FERGUS FALLS | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
Please comment or provide details below to improve the information on DR. ANGELA ANN KENNEDY.
| 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.