STACY D. KENNEDY (NPI# 1063556496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063556496 |
| Entity Type | Individual |
| Full Name | STACY D. KENNEDY |
| Credential | M.D. |
| Practice Address |
611 Mocksville Ave. Salisbury NC 28144-2705 |
| Mailing Address |
611 Mocksville Ave Salisbury NC 28144-2705 |
| Practice Telephone | 7046337220 |
| Practice Fax Number | 7046470515 |
| Mailing Telephone | 7046337220 |
| Mailing Fax Number | 7046470515 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2009-00173 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2009-00173 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5912324 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235149931 | Stacy Kennedy | Dietitian, Registered | 1404 Commonwealth Ave, #4, Brighton, MA 02135-3722 | 2006-08-08 |
| 1720052616 | Stacy Ann Kennedy | Nurse Practitioner | 3 Medical Plz, Mountain Home, AR 72653-2918 | 2006-02-15 |
| 1144869967 | Stacy Kennedy | Pharmacist | 808 N 12th St, Murray, KY 42071-1666 | 2019-12-26 |
| 1669947610 | Stacy Jo Kennedy | Nurse Practitioner | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2018-10-05 |
| 1699278127 | Stacy Kennedy | Occupational Therapist | 1447 N Harrison St, Saginaw, MI 48602-4727 | 2018-03-12 |
| 1720149016 | Stacy Kennedy | Optometrist | 1801 Manhattan Blvd, U, Harvey, LA 70058-7300 | 2006-12-12 |
| Street Address |
611 MOCKSVILLE AVE. |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861479107 | Bahnson David Hall | Obstetrics & Gynecology | 611 Mocksville Ave., Salisbury, NC 28144-2705 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548496383 | Novant Medical Group, Inc. | Internal Medicine | 327 Mocksville Ave, Salisbury, NC 28144-3327 | 2009-06-08 |
| 1891976270 | Michael E Crouch | Internal Medicine | 105 Pine Bluff Rd, Suite 7, Salisbury, MD 21801-7160 | 2007-11-14 |
| 1295712305 | Rakesh C. Patel | Internal Medicine | 611 Mocksville Ave, Salisbury, NC 28144-2705 | 2005-12-29 |
| 1861490500 | Michael E Crouch Md Pa | Internal Medicine | 105 Pine Bluff Rd, Suite 7, Salisbury, MD 21801-7160 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
| 1992231591 | Christopher Overton | Internal Medicine | 3300 Thurston Building Cb# 7280, Chapel Hill, NC 27599-7280 | 2017-05-03 |
| 1902358294 | Integrative Rheumatology Pllc | Internal Medicine | 10826 Mallard Creek Rd Ste 100, Charlotte, NC 28262-7785 | 2016-11-02 |
| 1760801146 | Noopur Goel | Internal Medicine | 1001 Pemberton Hill Rd Ste 202, Apex, NC 27502-4265 | 2014-04-14 |
| 1134498108 | Lake Norman Arthritis Specialists, Pa | Internal Medicine | 130 Harbour Place Dr, Suite 100, Davidson, NC 28036-7441 | 2011-12-21 |
| 1437447844 | Priyank Chaudhary | Internal Medicine | 901 N Winstead Ave Ste 260, Rocky Mount, NC 27804-8757 | 2011-07-19 |
| 1457666026 | Orwah Al-khalili | Internal Medicine | 7850 Brier Creek Pkwy, Raleigh, NC 27617-8900 | 2010-08-08 |
| 1265757157 | Surry Parker Roberts | Internal Medicine | 120 Woodburn Rd, Raleigh, NC 27605-1617 | 2010-04-02 |
| 1912235268 | Shanahan Rheumatology and Immunotherapy, Pllc | Internal Medicine | 10208 Cerny Street, Wake Med Brier Creek Medical Park, Raleigh, NC 27617 | 2009-11-25 |
| 1205163144 | George Ayo Korede | Internal Medicine | 1212 Spruce St Ste 311, Belmont, NC 28012 | 2009-11-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STACY D. 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.