MRS. BROOKE KENNEDY (NPI# 1487693644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487693644 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE KENNEDY |
| Credential | APRN |
| Practice Address |
4201 Nelson Rd Ste 100 Lake Charles LA 70605-4117 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3373102273 |
| Practice Fax Number | 3373124520 |
| Mailing Telephone | 3373128258 |
| Mailing Fax Number | 3373126708 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN104229 AP04899 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1706329 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427313998 | Brooke Lee Kennedy | Dentist | 3091 College Park Dr Ste 125, The Woodlands, TX 77384-8024 | 2012-07-10 |
| 1053736322 | Brooke Kennedy | Counselor | 448 Neal St, Cookeville, TN 38501-4027 | 2014-02-24 |
| 1386656205 | Brooke Allison Kennedy | Physical Therapist | 5625 Pearl Dr, Evansville, IN 47712-8106 | 2006-08-12 |
| 1568424695 | Brooke Catherine Kennedy | Specialist/Technologist | 1025 S 2nd Ave, Physical Therapy, Walla Walla, WA 99362-4116 | 2006-04-04 |
| Street Address |
4201 NELSON RD STE 100 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381811 | Imperial Health LLP | Clinic/Center | 4201 Nelson Rd Ste 100, Lake Charles, LA 70605-4117 | 2007-12-03 |
| 1053335471 | Noel C Hinton | Nurse Practitioner | 4201 Nelson Rd Ste 100, Lake Charles, LA 70605-4117 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819131 | Alisha Bernard | Nurse Practitioner | 2469 Topsy Rd, Lake Charles, LA 70611-5724 | 2020-07-24 |
| 1699396473 | Patricia Duhon | Nurse Practitioner | 814 W Mcneese St Ste 100, Lake Charles, LA 70605-5426 | 2020-05-03 |
| 1134750052 | Lauren Goodaker | Nurse Practitioner | 230 W Sale Rd, Lake Charles, LA 70605-2828 | 2020-01-29 |
| 1043867997 | Cynthia Trahan Cox | Nurse Practitioner | 730 Tallow Rd, Lake Charles, LA 70607-7038 | 2019-08-23 |
| 1770145526 | Lexie Miller | Nurse Practitioner | 1874 Poeyfarre Rd, Lake Charles, LA 70611-4698 | 2019-07-02 |
| 1477116036 | Sarah Ardoin Bardin | Nurse Practitioner | 401 Dr Michael Debakey Dr Ste 300, Lake Charles, LA 70601-5864 | 2019-04-19 |
| 1194288266 | Lauryn Caitlin Leslie | Nurse Practitioner | 333 Doctor Michael Debakey Dr Ste 140, Lake Charles, LA 70601-5889 | 2019-04-07 |
| 1649735234 | Kayleigh Paige Head | Nurse Practitioner | 1000 Walters St Rm 204, Lake Charles, LA 70607-4647 | 2019-02-07 |
| 1548734270 | Traci L. Johnson | Nurse Practitioner | 4150 Nelson Rd Ste 5, Lake Charles, LA 70605-4148 | 2019-01-16 |
| 1730662305 | Brandy Laurice Semien | Nurse Practitioner | 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 | 2018-09-10 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on MRS. BROOKE KENNEDY.
| 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.