JULIE LYNN KENNEDY-REA (NPI# 1992364202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992364202 |
| Entity Type | Individual |
| Full Name | JULIE LYNN KENNEDY-REA |
| Practice Address |
27 Trovato St Ste 103 Bridgeport WV 26330-7286 |
| Mailing Address |
3245 Mount Clare Rd Clarksburg WV 26301-7458 |
| Practice Telephone | 3046236300 |
| Mailing Telephone | 3046778564 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1093 | WV | Behavioral Health & Social Service Providers |
| Street Address |
27 TROVATO ST STE 103 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-7286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568541415 | Durwood F Gandee | Family Medicine | 27 Trovato St Ste 103, Bridgeport, WV 26330-7002 | 2006-11-03 |
| 1609402510 | Dawn M Colley | Counselor | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2020-03-23 |
| 1205473725 | Applegate Health Services, Inc | Family Medicine | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2019-12-03 |
| 1023507605 | Andrea Kae Simmons | Social Worker | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2018-05-09 |
| 1972055168 | Dawn Marie Bailey | Social Worker | 27 Trovato St Ste 103, Bridgeport, WV 26330-7286 | 2016-11-04 |
| 1942599394 | Martha T Hawkins | Social Worker | 27 Trovato St Ste 103, Bridgeport, WV 26330-7002 | 2011-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006526 | Wendy Jones | Counselor | 297 Bradley St, Bridgeport, CT 06610-1911 | 2019-11-03 |
| 1881242485 | Jared Maggi | Counselor | 3250 Fairfield Ave Apt 212, Bridgeport, CT 06605-3271 | 2019-08-28 |
| 1396202289 | Joseph A Graziano Jr. | Counselor | 174 University Ave, Bridgeport, CT 06604-5728 | 2019-02-27 |
| 1780130674 | Gary Vertula | Counselor | 260 Robin St, Bridgeport, CT 06606-4440 | 2016-08-30 |
| 1275983512 | Janelle Titus | Counselor | 142 Wade St, Bridgeport, CT 06604-1817 | 2016-06-17 |
| 1558717181 | Catherine Mcauliffe | Counselor | 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 | 2016-05-12 |
| 1326408485 | Elisabeth Parker | Counselor | 1150 Fairfield Ave, Bridgeport, CT 06605-1118 | 2016-03-02 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1609292648 | Margaret Creeth | Counselor | 475 Clinton Avenue, Fsw Inc, Bridgeport, CT 06605-1700 | 2014-03-14 |
| 1548682560 | Rebecca Fiest | Counselor | 175 Ridgeway Dr, Bridgeport, WV 26330-1176 | 2014-01-10 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on JULIE LYNN KENNEDY-REA.
| 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.