SALLY I KENNEDY (NPI# 1275712374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275712374 |
| Entity Type | Individual |
| Full Name | SALLY I KENNEDY |
| Credential | LISW |
| Practice Address |
600 Wayne Ave Dayton OH 45410 |
| Practice Telephone | 9374962000 |
| Practice Fax Number | 9374962185 |
| Mailing Telephone | 9374962000 |
| Mailing Fax Number | 9374962185 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
I0004594 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259372 | Sally Elizabeth Kennedy | Driver | 5894 S Shandle Blvd, Mentor, OH 44060-1972 | 2020-09-15 |
| 1225302029 | Sally Ann Kennedy | Psychologist | 1160 S Milledge Ave, Suite 130, Athens, GA 30605-1350 | 2012-02-27 |
| 1043293103 | Sally Jean Kennedy | Nurse Practitioner | 1898 E Southern Ave, Tempe, AZ 85282-5836 | 2005-11-22 |
| 1841661360 | Sally Kennedy | Nurse Anesthetist, Certified Registered | 2307 Parkland Way, Norman, OK 73069-6536 | 2015-10-09 |
| Street Address |
600 WAYNE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811920556 | Eastway Corporation | Clinic/Center | 600 Wayne Ave, Dayton, OH 45410-1122 | 2006-07-08 |
| 1669072310 | Deonate Gary | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-30 |
| 1023618972 | Shakora Flowers | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1396345153 | Heather Elaine Miller | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-29 |
| 1174123475 | Bettie Parks | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-27 |
| 1952900847 | Christina M Smith | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-21 |
| 1912505520 | Kelly E Blevins | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-15 |
| 1366049090 | Dana Bobalik | Social Worker | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-06 |
| 1780281576 | Heather Miller | Licensed Practical Nurse | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-05 |
| 1073110292 | Kristy Rothgeb | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410-1122 | 2020-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1295186898 | Stephanie Louise Weigel | Nurse Practitioner | 600 Wayne Avenue, Dayton, OH 45410 | 2016-06-24 |
| 1326499021 | Courtney Renee Downing | Registered Nurse | 600 Wayne Ave., Dayton, OH 45410-1122 | 2016-06-24 |
| 1982791729 | Robert Orgain Hardy | Psychiatry & Neurology | 600 Wayne Av, Eastway Behavioral Healthcare, Dayton, OH 45410-1122 | 2006-10-05 |
| 1619223401 | Joshua Matthew Estepp | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| 1164778957 | Myekale S Novy | Home Health Aide | 229 Adams St, Dayton, OH 45410-1205 | 2012-07-30 |
| Find all providers in zip 45410 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
| 1518576016 | Butler County Community Health Consortium, Inc. | Counselor | 2011 Timber Ln Ste B, Dayton, OH 45414-4528 | 2020-07-30 |
| 1578102075 | Yvonne De La Paix | Counselor | 350 Dayton Valley Rd Apt 15, Dayton, NV 89403-8918 | 2019-12-31 |
| 1346885530 | Arrell Johnson | Counselor | 120 Devonhurst Dr Apt F, Dayton, OH 45429-2180 | 2019-11-12 |
| 1235798968 | Joshua Minnich | Counselor | 1129 Miamisburg Centerville Rd # 201, Dayton, OH 45449-4004 | 2019-06-06 |
| 1669039418 | Lornette Darden Dallas | Counselor | South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439-2900 | 2019-05-28 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1447742895 | Darreon Darrell Greer Sr. | Counselor | Counseling and Wellness Services 053 Student Union, Dayton, OH 45435-0001 | 2018-06-01 |
| 1407366511 | Dominique Dixon | Counselor | 1 Elizabeth Pl Ste Rt-1, Dayton, OH 45417-3445 | 2017-10-03 |
| Find all providers in DAYTON | ||||
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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.