TINA M KENNEDY (NPI# 1164689949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164689949 |
| Entity Type | Individual |
| Full Name | TINA M KENNEDY |
| Credential | M.B.A. R.D. |
| Practice Address |
2522 W Wackerly St Ste B Midland MI 48640-6921 |
| Mailing Address |
Po Box 188 Alma MI 48801-0188 |
| Practice Telephone | 9898397770 |
| Practice Fax Number | 9898397777 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195691 | Tina Marie Kennedy | Technician | 550 S Dupont Hwy Apt 18a, New Castle, DE 19720-5129 | 2019-10-09 |
| 1922125087 | Tina B Kennedy | Nurse Practitioner | 119 Crossover Rd, Beulaville, NC 28518-8801 | 2007-03-23 |
| Street Address |
2522 W WACKERLY ST STE B |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811351 | Detroit Kidney Care, P.C. | Dietitian, Registered | 100 Kercheval Ave Ste C, Grosse Pointe Farms, MI 48236-3635 | 2020-08-11 |
| 1497395537 | Amy Wendt | Dietitian, Registered | 131 Vreeland Dr, Rochester Hills, MI 48309-1907 | 2020-01-07 |
| 1780993246 | Beth Ann Webb | Dietitian, Registered | 484 Cypress Rd, Rochester Hills, MI 48309-2225 | 2010-10-01 |
| 1275765737 | Glenda Bjornson | Dietitian, Registered | 23596 Clarewood St, Macomb, MI 48042-4828 | 2009-08-18 |
| 1841457330 | Ann S Lubeckyj | Dietitian, Registered | 6757 Main Street, Thumb Area Dialysis, Cass City, MI 48726 | 2008-05-21 |
| 1467634014 | Melissa Dawn Pieper | Dietitian, Registered | 12745 S. Saginaw Rd., Ste. 806-177, Grand Blanc, MI 48439-2437 | 2007-12-05 |
| 1073728754 | Dietitian for All L.L.C. | Dietitian, Registered | 22030 Park Street, Dearborn, MI 48124 | 2007-05-14 |
| 1578684189 | Mark Allen Perius | Dietitian, Registered | 50201 Jefferson Ave, Chesterfield, MI 48047-4303 | 2007-04-02 |
| 1184109969 | Sandra Kay Mcdonald-hangach | Dietitian, Registered | 23231 John R Rd, Hazel Park, MI 48030-1476 | 2018-09-27 |
| 1144705195 | Holley Lee Holloway | Dietitian, Registered | 2050 Livernois Rd, Troy, MI 48083-1757 | 2018-09-26 |
| Find all providers with the same taxonomy | ||||
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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.