MRS. SANDRA KAY KENNEDY (NPI# 1144548397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144548397 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA KAY KENNEDY |
| Credential | NP |
| Practice Address |
4965 Beechwood Cir Avon IN 46123-4621 |
| Practice Telephone | 3177457534 |
| Mailing Telephone | 3177457534 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
71003101A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912070590 | Sandra Huebsch Kennedy | Dentist | 11800 Aberdeen St Ne Ste 110, Blaine, MN 55449-4812 | 2006-11-15 |
| 1477079077 | Sandra Kennedy | Behavioral Analyst | 30 Buxton Farm Rd, Stamford, CT 06905-1224 | 2017-08-16 |
| 1306248091 | Sandra Kennedy | Registered Nurse | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2014-09-24 |
| 1770869281 | Sandra Joan Kennedy | Registered Nurse | 1233 N 30th St, Billings, MT 59101-0127 | 2011-10-27 |
| 1972811610 | Sandra Kennedy | Physical Therapist | 222 Acacia St, Fairfield, CA 94533-3800 | 2010-09-15 |
| 1225194855 | Sandra J. Kennedy | Nurse Practitioner | 140 Sw 146th St, Burien, WA 98166-1912 | 2006-12-28 |
| 1104904473 | Sandra Kennedy | Registered Nurse | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2006-11-02 |
| Street Address |
4965 BEECHWOOD CIR |
| City | AVON |
| State | IN |
| Zip Code | 46123-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649613159 | Kimberly Sue Stull | Nurse Practitioner | 705 N Riley Ave, Indianapolis, IN 46201-2923 | 2013-04-15 |
| 1629411459 | Natalie Szczypiorski | Nurse Practitioner | 705 Riley Hospital Dr, Roc 4270, Riley Hospital for Children, Indianapolis, IN 46202 | 2013-04-11 |
| 1942435177 | Lori Miller | Nurse Practitioner | 8645 N Meridian St, Indianapolis, IN 46260-5302 | 2009-05-18 |
| 1144785031 | Maureen Mackenzie Flynn | Nurse Practitioner | 1629 Medical Arts Blvd Ste 200, Anderson, IN 46011-3454 | 2019-02-05 |
| 1689111049 | Erika L Ingle | Nurse Practitioner | 545 Barnhill Dr, Eh 215, Indianapolis, IN 46202-5112 | 2017-01-24 |
| 1881053445 | Anila N Paul | Nurse Practitioner | 705 Riley Hospital Dr, Roc 4270, Indianapolis, IN 46202-5109 | 2016-02-11 |
| 1053717900 | Anthony Coddington | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2014-11-05 |
| 1720007073 | Jennifer C. Hamilton | Nurse Practitioner | 705 Riley Hospital Dr, Ri 4900, Indianapolis, IN 46202-5109 | 2006-07-18 |
Please comment or provide details below to improve the information on MRS. SANDRA KAY 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.