BOBBI GABRIELE KENNEDY (NPI# 1366676462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366676462 |
| Entity Type | Individual |
| Full Name | BOBBI GABRIELE KENNEDY |
| Credential | IDMT |
| Practice Address |
6801 Ne Cornfoot Road Portland OR 97218 |
| Practice Telephone | 5033354557 |
| Practice Fax Number | 5033355609 |
| Mailing Telephone | 5033354557 |
| Mailing Fax Number | 5033355609 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457695371 | Bobbi S Kennedy | Social Worker | 515 W Indiana St, Farmer City, IL 61842-1384 | 2012-11-15 |
| 1396373452 | Bobbi L Kennedy | Counselor | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2020-04-01 |
| Street Address |
6801 NE CORNFOOT ROAD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852726 | Alex Margarito | Specialist/Technologist | 6801 Necornfoot Rd, Fpo, AA 97218 | 2019-10-14 |
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1740709658 | Alyssa M Cavalier | Licensed Practical Nurse | 6601 Ne 78th Ct., Suite A3, Portland, OR 97218 | 2017-09-12 |
| 1093266405 | Jean Hansen | Counselor | 6601ne 78th Court Suite, Suite A3, Portland, OR 97218 | 2016-10-20 |
| 1174913636 | Kirsten Kelly-chambers | Counselor | 4310 Ne Killinsworth Street, Portland, OR 97218 | 2015-02-04 |
| 1386962074 | Kathleen Kuhlmey Sheridan | Nurse Practitioner | 5215 Ne 52nd Ave, Portland, OR 97218 | 2010-05-06 |
| 1003049909 | Kevin Richardson | Adult Companion | 5029 Ne Killingsworth St, Portland, OR 97218 | 2009-08-26 |
| 1396980751 | Jamie Mercile Taylor | Counselor | 4310 N.e Kilingsworth, Portland, OR 97218 | 2008-12-12 |
| 1902041460 | Brandi Danielle Hess | Counselor | 4450 Ne 76th, Portland, OR 97218 | 2008-12-11 |
| 1548439201 | Sarah Lynn Santoriello | Physical Therapist | 5330 Ne Prescott St., Portland, OR 97218 | 2008-02-27 |
| Find all providers in zip 97218 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417142431 | Raymond Pampolina Manahan | Military Health Care Provider | 905 La Mirada, Portland, TX 78374-4130 | 2007-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039828 | Amy H Heath | Military Health Care Provider | 211 Arnold Ave, Ste 15, Klamath Falls, OR 97603-2111 | 2010-03-23 |
| 1275857005 | Carl Brent Valentine | Military Health Care Provider | 4131 Se River Dr, Milwaukie, OR 97267-6801 | 2010-03-23 |
| 1134362395 | Jerod Lee Taylor | Military Health Care Provider | 211 Arnold Ave Ste 15, Klamath Falls, OR 97603-2111 | 2009-04-16 |
| 1972933182 | Brandy Halvorsen | Military Health Care Provider | 211 Arnold Ave, Ste 15, Klamath Falls, OR 97603-2111 | 2013-11-25 |
| 1013144468 | Neil J Neisner | Military Health Care Provider | 211 Arnold Ave Ste 15, Klamath Falls, OR 97603-2111 | 2009-06-12 |
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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.