JANE KENNEDY (NPI# 1821468398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821468398 |
Entity Type | Individual |
Full Name | JANE KENNEDY |
Other Name | JANE T JAVELLANA |
Credential | MT |
Practice Address |
8601 N Black Canyon Hwy Ste 103 Phoenix AZ 85021-4155 |
Mailing Address |
11225 N 16th Ave Phoenix AZ 85029-3757 |
Practice Telephone | 6026286636 |
Mailing Telephone | 6026286636 |
Enumeration Date | 2015-09-28 |
Last Update Date | 2020-08-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT-04684P | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679792071 | Jane E Kennedy | Nurse Practitioner | 2455 Bennett Valley Rd Ste B205, Santa Rosa, CA 95404-5667 | 2007-04-24 |
1336205137 | Jane A. Kennedy | Psychiatry & Neurology | 1894 Vine St, Denver, CO 80206-1122 | 2006-12-28 |
1629339932 | Jane C. Kennedy | Acupuncturist | 1212 Trumansburg Rd, Ithaca, NY 14850-1314 | 2012-06-04 |
1851452841 | Jane F Kennedy | Nurse Practitioner | 41 Mall Rd, Hematology Department, Burlington, MA 01805-0001 | 2006-12-13 |
1447350848 | Jane E Kennedy | Internal Medicine | 1000 N Oak Ave, Marshfield, WI 54449-5777 | 2006-09-25 |
Street Address |
8601 N BLACK CANYON HWY STE 103 |
City | PHOENIX |
State | AZ |
Zip Code | 85021-4155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
Find all providers in zip 85021 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
1386250520 | Jeanne Thom | Massage Therapist | 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 | 2020-09-22 |
1649880253 | Dwayne Pepper | Massage Therapist | 1337 E Goldenrod St, Phoenix, AZ 85048-6231 | 2020-08-07 |
1942818828 | Erika Mendoza | Massage Therapist | 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 | 2020-07-16 |
1164042602 | Rhonda L Evans | Massage Therapist | 3124 W Salter Dr, Phoenix, AZ 85027-2250 | 2020-04-24 |
1700416427 | David Solis | Massage Therapist | 1614 W Whispering Wind Dr Ste 5, Phoenix, AZ 85085-0809 | 2020-01-22 |
1700425949 | Charles George King Jr. | Massage Therapist | 6223 N 20th Dr, Phoenix, AZ 85015-1516 | 2020-01-06 |
1679119457 | Faith Vandyne | Massage Therapist | 722 E Sack Dr, Phoenix, AZ 85024-8232 | 2019-11-27 |
Find all providers in PHOENIX |
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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.