MRS. CHRISTINE ELIZABETH KENNEDY (NPI# 1073883781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073883781 |
| Entity Type | Individual |
| Full Name | MRS. CHRISTINE ELIZABETH KENNEDY |
| Credential | RN, MSN, CPNP |
| Practice Address |
747 52nd St 4th Floor Urology Oakland CA 94609-1809 |
| Mailing Address |
2355 Scott St Apt 301 San Francisco CA 94115-1768 |
| Practice Telephone | 5104283402 |
| Mailing Telephone | 4156246918 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-02-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 652635 | CA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20979 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188638 | Christine Kennedy | Occupational Therapy Assistant | 37 Lakeview Dr., Naples, ME 04055 | 2010-11-29 |
| 1114926581 | Christine Elaine Kennedy | Physician Assistant | 575 Coal Valley Rd Ste 400, Jefferson Hills, PA 15025-3726 | 2005-07-19 |
| 1477195261 | Christine Elizabeth Kennedy | Dental Hygienist | 3000 Market St Ne, Salem, OR 97301-1882 | 2019-10-13 |
| 1366805459 | Christine Kennedy | Counselor | 501 Washington Ln, Jenkintown, PA 19046-3145 | 2016-04-05 |
| 1306235197 | Christine Ann Kennedy | Marriage & Family Therapist | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2015-01-15 |
| 1053714428 | Christine Kennedy | Pharmacist | 142 Genesee St, Oneida, NY 13421-2704 | 2014-09-30 |
| 1487936233 | Christine J Kennedy | Pharmacist | 5373 Peachtree Ind Blvd, Chamblee, GA 30341-2139 | 2011-09-16 |
| 1457557449 | Christine Kennedy | Nurse Practitioner | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2007-06-26 |
| 1285722231 | Christine Kennedy | Family Medicine | 727 East Ave, Pawtucket, RI 02860-6184 | 2006-10-11 |
| 1346278074 | Christine Kennedy | Pediatrics | 784 E Main St, Branford, CT 06405-2918 | 2006-06-29 |
| Street Address |
747 52ND ST 4TH FLOOR UROLOGY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200928 | James Philip Riddel Jr. | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2005-07-29 |
| 1235739905 | Maria Elena Alicia Valdivia Fortuna | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-10-30 |
| 1295342707 | Jenny Chen | Dietitian, Registered | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-29 |
| 1104433028 | Phuong T Nguyen-tran | Pharmacist | 747 52nd St, Oakland, CA 94609-1809 | 2020-09-24 |
| 1114538899 | Ji Yun Lee | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-14 |
| 1780295857 | Luis Alonso Perez Jr. | Social Worker | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-12 |
| 1255941803 | Aleesia Renta-ramirez | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-07 |
| 1831709773 | Carroll Taylor Brown IIi | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-05 |
| 1053921064 | Jessica Stankiewicz Lightcap | Registered Nurse | 747 52nd St, Oakland, CA 94609-1809 | 2020-08-04 |
| 1184242307 | Cecilia Fairley | Genetic Counselor, MS | 747 52nd St, Oakland, CA 94609-1809 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1356687651 | Kristine Carter | Nurse Practitioner | 991 14th St Bldg H, Oakland, CA 94607-3230 | 2012-12-14 |
| 1497029144 | Megan Keating | Nurse Practitioner | 757 52nd St., Oakland, CA 94609 | 2012-02-28 |
| 1801079629 | Angelique Champeau Hinds | Nurse Practitioner | 744 52nd St Ste 4100, Oakland, CA 94609-1810 | 2007-12-14 |
| 1821621269 | Rita Bolous Mccowan | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2020-02-13 |
| 1962048488 | Mellany Ann Aquino | Nurse Practitioner | 3100 Summit St, Oakland, CA 94609-3412 | 2019-11-19 |
| 1366923138 | Jessica Olivero | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2018-08-28 |
| 1093220485 | Julia Alysse Reisman | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-12-06 |
| 1043724719 | Anna X Liang | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-11-16 |
| 1477091965 | Bianca Juarez | Nurse Practitioner | 747 52nd St, Oakland, CA 94609-1809 | 2017-02-06 |
| Find all providers in OAKLAND | ||||
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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.