DR. SCOTT KENNEDY (NPI# 1780123356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780123356 |
| Entity Type | Individual |
| Full Name | DR. SCOTT KENNEDY |
| Credential | DMD |
| Practice Address |
609 Elm Avenue Waco TX 76704 |
| Practice Telephone | 2547540001 |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
33258 | TX | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669954491 | Scott H Kennedy | Pharmacist | 1481 W 10th St Fl 7, Indianapolis, IN 46202-2803 | 2018-08-29 |
| 1922381359 | Scott Kennedy | Pharmacist | 17538 E Baker Pl, Aurora, CO 80013-4182 | 2011-09-22 |
| 1245318351 | Scott Herbert Kennedy | Internal Medicine | 3217 Coventry N, Safety Harbor, FL 34695-4808 | 2006-11-02 |
| 1255318614 | Scott Aaron Kennedy | Chiropractor | 5690 Watermelon Rd Ste 300, Northport, AL 35473 | 2005-12-28 |
| 1902881691 | Scott Wilmot Kennedy | Nurse Practitioner | 5050 Central Sarasota Pkwy, #207, Sarasota, FL 34238-7600 | 2005-12-14 |
| 1730684002 | Scott Frederick Kennedy | Social Worker | 79 W Alexandrine St, Detroit, MI 48201-2015 | 2018-03-28 |
| 1861933566 | Scott Crane Kennedy | Case Manager/Care Coordinator | 2080 S E St, San Bernardino, CA 92408-2773 | 2017-03-14 |
| 1578726410 | Scott Thomas Olcott Kennedy | Radiology | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2008-07-09 |
| 1770772402 | Scott M Kennedy | Family Medicine | 633 Sunset Ln, Suite F, Culpeper, VA 22701-3942 | 2007-10-18 |
| 1033311774 | Scott Richard Kennedy | Anesthesiology | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-06-04 |
| Street Address |
609 ELM AVENUE |
| City | WACO |
| State | TX |
| Zip Code | 76704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023499407 | Cenikor Foundation | Community/Behavioral Health | 2601 Gholson Rd., Waco, TX 76704 | 2015-06-11 |
| 1003085135 | Woodland Springs Healthcare Lp | Skilled Nursing Facility | 1010 Dallas St, Waco, TX 76704 | 2008-02-22 |
| 1215033725 | Clifton Martin | Dentist | 609 Elm Ave, Waco, TX 76704 | 2006-09-15 |
| 1649257429 | Floyd Lee Barry | Pediatrics | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1720239106 | Joel Brennan Mahan | Family Medicine | 609 Elm Ave, Waco, TX 76704 | 2008-10-03 |
| 1245217058 | Lauren Gallemore Barron | Family Medicine | 1911 Martin Luther King Blvd, Waco, TX 76704 | 2005-12-22 |
| 1104123926 | Mclennan County | Social Worker | 2601 Gholson Rd, Waco, TX 76704-1106 | 2011-02-14 |
| 1528625035 | Sherine Amondi Oganga | Registered Nurse | 413 Dearborn St, Waco, TX 76704-1431 | 2019-05-21 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1356781579 | Kathryn Christen Siems | Physician Assistant | 1911 Martin Luther King Blvd, Waco, TX 76704-1438 | 2013-07-02 |
| Find all providers in zip 76704 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881827624 | Jessica Jean Layden | Student in an Organized Health Care Education/Training Program | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2009-08-27 |
| 1609498385 | Marc Levi Johnson | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-05-15 |
| 1982230132 | Stephanie Perko | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2020-03-19 |
| 1346807781 | Irfan Shaik | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-05-21 |
| 1679032452 | Jack Kelly | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2019-03-19 |
| 1912491705 | Mir Quasim Ali Saad Naseri | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-06-15 |
| 1922502780 | Latashua Joseph | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2018-03-19 |
| 1194254714 | Austin Revvie Green | Student in an Organized Health Care Education/Training Program | 7911 Woodway Dr, Waco, TX 76712-3866 | 2017-06-07 |
| 1407214844 | Pan Chang | Student in an Organized Health Care Education/Training Program | 609 Elm St, Waco, TX 76704-2516 | 2016-01-30 |
| 1508281429 | Dawna Campbell | Student in an Organized Health Care Education/Training Program | 1105 Wooded Acres Dr, Suite 545, Waco, TX 76710-4468 | 2014-02-28 |
| Find all providers in WACO | ||||
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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.