MARITESS KENNEDY (NPI# 1164810586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164810586 |
| Entity Type | Individual |
| Full Name | MARITESS KENNEDY |
| Practice Address |
16705 Prairie Fawn Ct San Diego CA 92127-3408 |
| Practice Telephone | 8585246644 |
| Mailing Telephone | 8585246644 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
AT4198 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16705 PRAIRIE FAWN CT |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92127-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740800325 | Jacob New | Student in an Organized Health Care Education/Training Program | 10790 Rancho Bernardo Rd., Mail Drop 4s-205, San Diego, CA 92127 | 2020-04-23 |
| 1376174946 | Marjorie Francisco Noy | Social Worker | 16550 W. Bernardo Drive, Bldg. 8/1688n, San Diego, CA 92127 | 2020-01-31 |
| 1295253839 | Chelsea Saville | Physical Therapist | 16680 West Bernardo Drive, San Diego, CA 92127 | 2017-09-05 |
| 1558881862 | Dianna Christine Goodwin | Social Worker | 11031 Via Frontera Suite C, San Diego, CA 92127 | 2017-06-27 |
| 1164966495 | Kelsey Michaela Bright | Specialist/Technologist | 15778 Camino Crisalida, San Diego, CA 92127 | 2016-12-06 |
| 1588112924 | Orenda Recovery | Substance Abuse Rehabilitation Facility | 8110 Twilight Point Way, San Diego, CA 92127 | 2016-09-14 |
| 1063868560 | Jung Oh | Pharmacist | 18087 Valladares Drive, San Diego, CA 92127 | 2016-05-13 |
| 1225496524 | Davey Dental Corp | Dentist | 16460 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2016-02-02 |
| 1942673496 | Davey Dental Corporation | Dentist | 1640 Paseo Del Sur, Suite 105, San Diego, CA 92127 | 2015-11-05 |
| 1164800025 | Maryam Derakhshani | Dentist | 10960 La Alberca Avenue, San Diego, CA 92127 | 2015-05-12 |
| Find all providers in zip 92127 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767468 | George Justin Petersen | Physical Therapist | 3064 Fried Ave, San Diego, CA 92122-2235 | 2017-01-24 |
| 1699117002 | Rogelio Bautista | Physical Therapist | 3703 Lindbergh St, San Diego, CA 92154-1654 | 2013-07-25 |
| 1588282594 | Chr Physical Therapy | Physical Therapist | 2694 Escala Cir, San Diego, CA 92108-6720 | 2020-07-07 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| 1619338522 | Krista Hambley | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2016-03-19 |
| 1851765457 | Carrie Johnston | Physical Therapist | 13101 Hartfield Ave, San Diego, CA 92130-1511 | 2015-11-19 |
| 1326429374 | Rosebelle Sotto | Physical Therapist | 18655 W Bernardo Dr, San Diego, CA 92127-3002 | 2015-06-16 |
| 1861892598 | Kevin Branscum | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2014-08-29 |
| 1881940708 | April Ann Hoffman | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2012-07-29 |
| 1437405420 | Lenda Earl | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2012-07-27 |
| Find all providers in SAN DIEGO | ||||
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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.