DR. KENNEDY LAVILLE THOREN (NPI# 1144873282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144873282 |
| Entity Type | Individual |
| Full Name | DR. KENNEDY LAVILLE THOREN |
| Credential | DNP, ARNP, PMHNP-BC |
| Practice Address |
1301 Center St Des Moines IA 50309-1004 |
| Practice Telephone | 5152435181 |
| Practice Fax Number | 5153090555 |
| Mailing Telephone | 5152435181 |
| Mailing Fax Number | 5153090555 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 140115 | IA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G159113 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 CENTER ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50309-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1366042251 | Meghann A. Hart | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2020-10-29 |
| 1710549894 | Veronica Holloway | Nurse Practitioner | 1301 Center St, Des Moines, IA 50309-1004 | 2019-06-28 |
| 1023581451 | Marshall Dean Abbe IIi | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2019-01-08 |
| 1215423348 | Kimberly Kaye Wilson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2018-07-01 |
| 1053808006 | Marisa Catherine Mickunas | Counselor | 1301 Center St, Des Moines, IA 50309-1004 | 2018-04-16 |
| 1265964761 | Kimberlee Gregory | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-04-03 |
| 1306386313 | John Francis Morrow | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2017-02-24 |
| 1295175685 | Harold Lars Peterson | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2013-06-28 |
| 1255662193 | Jane A Koster | Social Worker | 1301 Center St, Des Moines, IA 50309-1004 | 2010-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126894 | Marie Danielle Leblanc | Surgery | Anna Blank Building, Level 2, Dept Pediatric Surgery, 1206 Pleasant Street, Des Moines, IA 50309 | 2020-05-27 |
| 1538710421 | Macy Mckendree | Social Worker | 918 Se 11th St., Des Moines, IA 50309 | 2019-09-23 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1003315011 | Hyvacs, LLC | Durable Medical Equipment & Medical Supplies | 215 10th St Ste 110, Des Moines, IA 50309 | 2018-02-05 |
| 1770005746 | Jacob Michael Boyle | Chiropractor | 500 Sw 7th St Ste 205, Des Moines, IA 50309 | 2017-07-12 |
| 1831646140 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 309 Court Ave, Ste 811, Des Moines, Ia, 50309, Ste 811, Des Moines, IA 50309 | 2016-09-02 |
| 1457807000 | Patricia Bularzik | Social Worker | 808 5th Avenue, Des Moines, IA 50309 | 2016-09-01 |
| 1396128492 | Sarah Lynn Cavan | Social Worker | 1301 Center, Eyerly Ball Community Mental Health Center, Des Moines, IA 50309 | 2015-07-07 |
| 1104204056 | Andrea Lynn Jones | Social Worker | 600 E Court Ste 200, Des Moines, IA 50309 | 2015-05-12 |
| 1811388937 | Matthew Zirretta | Physical Therapist | 1515 Linden Street, 1st Floor, Integrated Physical Therapy & Sports Medicine, Des Moines, IA 50309 | 2015-02-11 |
| Find all providers in zip 50309 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417403916 | Alpha Allied Mental Health Services | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2016-08-25 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1710389846 | Lakew Adnew | Nurse Practitioner | 22634 10th Ave S, Des Moines, WA 98198-6915 | 2014-09-19 |
| 1316356496 | Kimberly N Roberts | Nurse Practitioner | 700 E University Ave # 3w, Des Moines, IA 50316-2302 | 2014-08-04 |
| 1134231459 | Grace V Hatcher | Nurse Practitioner | 520 42nd St, Suite A, Des Moines, IA 50312-2757 | 2006-08-31 |
| 1275147910 | Amazon Psychiatry | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2020-09-01 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1801435326 | Erin Leigh Federspiel | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-01-01 |
| 1477199198 | Sajo Joseph Thomas | Nurse Practitioner | 945 19th St, Des Moines, IA 50314-1117 | 2019-11-18 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50309 |
Please comment or provide details below to improve the information on DR. KENNEDY LAVILLE THOREN.
| 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.