TAMMY COLLETTE KENNEDY (NPI# 1932138278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932138278 |
| Entity Type | Individual |
| Full Name | TAMMY COLLETTE KENNEDY |
| Credential | LPC, LADAC |
| Practice Address |
5500 Pinnacle Point Drive Suite 204 Rogers AR 72758 |
| Practice Telephone | 4792684142 |
| Practice Fax Number | 4795245197 |
| Mailing Telephone | 4792684142 |
| Mailing Fax Number | 4795245197 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2015-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0006017 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AR BLUE SHIELD PROVIDER # | 5Y674 | 01 |
| Street Address |
5500 PINNACLE POINT DRIVE SUITE 204 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1245724251 | Sterling Yard, Inc. | Counselor | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2018-06-22 |
| 1972018760 | Jason Scott Wilson | Counselor | 1225 W Hudson Rd, Rogers, AR 72756-2330 | 2017-12-03 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1205382793 | Momentum Counseling, Pllc | Counselor | 593 S Horsebarn Rd Ste 102, Rogers, AR 72758-8797 | 2016-08-25 |
| 1710341417 | Anne E Rana | Counselor | 2105 S 54th St Ste 2, Rogers, AR 72758-8191 | 2016-04-08 |
| 1679955926 | Nwa Premier Counseling | Counselor | 5305 W Village Pkwy Ste 8, Rogers, AR 72758-8116 | 2015-06-23 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1013268531 | Kerry Ann Underwood | Counselor | 409 W Poplar St, Rogers, AR 72756-4560 | 2012-09-24 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| Find all providers in ROGERS | ||||
Please comment or provide details below to improve the information on TAMMY COLLETTE 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.