SHARLENE K KENNEDY (NPI# 1194876920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194876920 |
Entity Type | Individual |
Full Name | SHARLENE K KENNEDY |
Credential | N. P. |
Practice Address |
One Hurley Plaza Nursing Administration Flint MI 48503 |
Mailing Address |
1085 S Linden Rd Suite 150 Flint MI 48532-3421 |
Practice Telephone | 8102579526 |
Practice Fax Number | 8102579471 |
Mailing Telephone | 8107323240 |
Mailing Fax Number | 8102300280 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704088180 | MI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4291971 | 05 |
Street Address |
ONE HURLEY PLAZA NURSING ADMINISTRATION |
City | FLINT |
State | MI |
Zip Code | 48503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902871742 | Kenneth Louis Wilson | Surgery | One Hurley Plaza, Flint, MI 48503 | 2006-02-22 |
1306469598 | Rohit Gupta | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2020-05-21 |
1679069926 | Melissa Ann Schmidt | Physical Therapist | One Hurley Plaza, Flint, MI 48503 | 2018-07-10 |
1992223549 | Berghan Leigh Days | Registered Nurse | One Hurley Plaza, Flint, MI 48503 | 2017-09-05 |
1659894954 | Anitha Kumari Yelangi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-19 |
1902328826 | Varun Samji | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-12 |
1407378870 | Tarek Haykal | Internal Medicine | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
1518489988 | Huda George Marcus | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
1265954622 | Sai Pavan Kumar Chintalapati | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-07-07 |
1043731862 | Ismail Kazmi | Student in an Organized Health Care Education/Training Program | One Hurley Plaza, Flint, MI 48503 | 2017-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
Find all providers in zip 48503 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831739523 | Tiffany M Stafford | Nurse Practitioner | 5536 S Saginaw Rd, Flint, MI 48507-4421 | 2020-01-09 |
1184269599 | Tamela Renae Callahan | Nurse Practitioner | 20188 Ridgerock Dr, Flint, TX 75762-9335 | 2019-11-08 |
1164982229 | Randi Lynn Ballard-dickerson | Nurse Practitioner | 1140 S Linden Rd Bldg A, Flint, MI 48532-3437 | 2019-03-23 |
1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
1144728593 | Matthew Thomas Evans | Nurse Practitioner | 1125 S Linden Rd Ste 900, Flint, MI 48532-4068 | 2018-01-30 |
1093213977 | Sandy Holland | Nurse Practitioner | 4100 Beecher Road, Flint, MI 48532-2819 | 2018-01-25 |
1245760883 | Melinda Sue Williams | Nurse Practitioner | 2304 Bradford Dr, Flint, MI 48507-4404 | 2017-06-15 |
1912340332 | Patricia Ann Ward | Nurse Practitioner | 1401 E. Court, Mott Community College Health Services, Flint, MI 48503 | 2013-04-16 |
1710119904 | Laura Lea Szakal | Nurse Practitioner | 1386 S Linden Rd, Flint, MI 48532-4185 | 2009-08-20 |
Find all providers in FLINT |
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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.