DAVID KENNEDY (NPI# 1710341953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710341953 |
| Entity Type | Individual |
| Full Name | DAVID KENNEDY |
| Practice Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032941681 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935361 | David Paul Kennedy | Social Worker | 22 Manion Rd, Hyde Park, MA 02136-3834 | 2018-09-07 |
| 1073021481 | David Lloyd Kennedy Jr. | Specialist/Technologist | 330 Round Hill Rd, Salem, CT 06420-3832 | 2018-01-19 |
| 1518258755 | David Patrick Kennedy | Ophthalmology | 4224 Houma Blvd Ste 100, Metairie, LA 70006-2934 | 2011-04-21 |
| 1770722928 | David E Kennedy | Occupational Therapist | 17800 Caddy Dr, Derwood, MD 20855-1004 | 2009-02-11 |
| 1619157518 | David Richard Kennedy | Pharmacist | 8530 Transit Rd, Williamsville, NY 14221-2836 | 2007-11-07 |
| 1265580351 | David Mark Kennedy | Dentist | 69160 Ramon Road Suite #100, Cathedral City, CA 92234 | 2007-01-08 |
| 1730103821 | David Kennedy | Physical Therapist | 1220 Camino Del Llano, Belen, NM 87002-2727 | 2006-07-26 |
| 1215929229 | David R Kennedy | Internal Medicine | 7450 Kessler St, Ste 300, Merriam, KS 66204 | 2005-08-16 |
| 1376153122 | David Peter Kennedy | Physical Therapy Assistant | 3110 Scott Cir, Omaha, NE 68112-2604 | 2020-08-06 |
| 1093214892 | David Kennedy | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-0651 | 2018-02-07 |
| Street Address |
232 NW 6TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881658276 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2006-04-13 |
| 1558896266 | Central City Concern Inc | Clinic/Center | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2017-05-01 |
| 1922550318 | Bryan Welch | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-11-01 |
| 1114479599 | Amy C Smith | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-11-01 |
| 1548719099 | Scott Bryant | Registered Nurse | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-09-26 |
| 1003364860 | Melissa Smith | Pharmacist | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-09-21 |
| 1699221465 | Daniel Strode | Registered Nurse | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-31 |
| 1275089138 | Debra Fresh | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-31 |
| 1164978102 | Mariela Plascencia | Community Health Worker | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-08-30 |
| 1740733583 | Annahita Ghaboussi | Counselor | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1245896307 | Anthony James Hardy | Peer Specialist | 10336 Ne Wygant St, Portland, OR 97220-3368 | 2019-05-14 |
| 1881155596 | Laray Jermaine Thomas | Peer Specialist | 11509 Se Stephens St, Portland, OR 97216-3660 | 2019-03-26 |
| 1932684248 | Dorothy Joanna Burton | Peer Specialist | 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 | 2018-10-02 |
| 1750886255 | Steven Wade | Peer Specialist | 4512 Ne Portland Hwy, Portland, OR 97218-1363 | 2018-03-27 |
| 1669991212 | Kimberly Jaye Randall | Peer Specialist | 17214 Se Division St Ste 2, Portland, OR 97236-1282 | 2017-09-14 |
| 1689103897 | Walter Bulter | Peer Specialist | 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 | 2017-06-09 |
| 1306373543 | Brenda Kay Mitchell | Peer Specialist | 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 | 2017-05-18 |
| 1760914493 | Changing Perceptions | Peer Specialist | 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 | 2017-03-31 |
| Find all providers in PORTLAND | ||||
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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.