DR. JULES QUENTIN KENNEDY (NPI# 1871108613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871108613 |
| Entity Type | Individual |
| Full Name | DR. JULES QUENTIN KENNEDY |
| Credential | PMHNP-BC |
| Practice Address |
36065 Santa Fe Ave Fort Hood TX 76544-5060 |
| Practice Telephone | 2545533623 |
| Mailing Telephone | 2545533623 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2020040134 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
36065 SANTA FE AVE |
| City | FORT HOOD |
| State | TX |
| Zip Code | 76544-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252438 | Marita Joan Prince | Registered Nurse | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2005-11-16 |
| 1124629993 | Jeffery Mehaffey | Physician Assistant | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-11-06 |
| 1235744855 | Lorrie Marie Santoy | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-10 |
| 1700490257 | Monica M Chan | Physical Therapist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-09-02 |
| 1104437714 | Min Cui | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-17 |
| 1982215695 | Andrew Krogsgaard Mason | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1861003527 | Kyle James Hardwick | Military Health Care Provider | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-08-14 |
| 1831716026 | James Clifford Revis | Nurse Anesthetist, Certified Registered | 36065 Santa Fe Ave, Fort Hood, TX 76544 | 2020-07-03 |
| 1538785944 | Angela Prior | Social Worker | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-06-22 |
| 1841813128 | Jessica Eker | Student in an Organized Health Care Education/Training Program | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626429 | Gilberto Rolando Nunez | Dental Hygienist | Dentac Fort Hood, 68th Street Bldg. 4431, Fort Hood, TX 76544 | 2020-10-09 |
| 1184236895 | Christina Belousov | Dentist | 14351 Battalion Ave, Apo, AA 76544 | 2020-08-24 |
| 1598377095 | Stephen Doh | Dentist | 23rd St &, Old Battalion Ave, Fort Hood, TX 76544 | 2020-08-18 |
| 1265041602 | Jamie Gregory | Registered Nurse | Building 33003 Battalion Ave, Fort Hood, TX 76544 | 2020-07-30 |
| 1013525559 | Danielle Robbins | Social Worker | 2255 761st Tank Battalion, Fort Hood, TX 76544 | 2020-07-21 |
| 1811530397 | Keven Faust | Physician Assistant | Carl R Darnell Army Medical Center, 36065 Sante Fe Ave, Fort Hood, TX 76544 | 2019-10-28 |
| 1760024483 | Whitney C Weatherall | Licensed Vocational Nurse | 5458 Hughes St Unit 2, Fort Hood, TX 76544 | 2019-10-14 |
| 1982255436 | Rojalina Nayak | Dentist | Building 4250 Clear Creek Road, Ste #213, Fort Hood, TX 76544 | 2019-09-26 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1881247864 | Melissa Ann Marcelli-flint | Social Worker | 21011 Old Ironsides Avenue, Fort Hood, TX 76544 | 2019-07-19 |
| Find all providers in zip 76544 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508931379 | Larry B Aramanda | Nurse Practitioner | 85th Med Det Csc 36th Med Bn 1st Med Bde, Fort Hood, TX 76544 | 2006-11-21 |
| 1912365776 | Shinita Favors | Nurse Practitioner | 36065 Santa Fe Ave, Fort Hood, TX 76544-4752 | 2016-02-08 |
| 1972980209 | Patricia Hall-stevens | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2015-05-06 |
| 1629127535 | Lynette Croslin | Nurse Practitioner | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.