MR. MICHAEL PATRICK KENNEDY (NPI# 1558507749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558507749 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PATRICK KENNEDY |
| Credential | RN, NP |
| Practice Address |
11310 Huron St Ste 100 Northglenn CO 80234-3090 |
| Mailing Address |
414 Eagle St Silver Lake KS 66539-9604 |
| Practice Telephone | 3034507435 |
| Practice Fax Number | 3034507463 |
| Mailing Telephone | 7855825832 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 187806 | KS | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 13102126041 | KS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0994280-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992047427 | Michael W Kennedy | General Practice | 6686 Eagle Crossing Blvd, Brownsburg, IN 46112-7420 | 2013-03-22 |
| 1861732760 | Michael Kennedy | Social Worker | 865 Memorial Pkwy, Phillipsburg, NJ 08865-2730 | 2013-03-01 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1861678435 | Michael George Kennedy | Social Worker | 1290 W 8th Pl, Suite A, Yuma, AZ 85364-3621 | 2008-01-14 |
| 1992985550 | Michael Arthur Kennedy | Preventive Medicine | 62 N. Chapel St, #100, Physicians Group, LLC, Newark, DE 19711-2238 | 2007-11-11 |
| 1639358088 | Michael John Kennedy | Chiropractor | 12105 41st Ave N, Apt 118, Plymouth, MN 55441-1200 | 2007-11-01 |
| 1588879043 | Michael Thomas Kennedy | Surgery | 28144 El Montanero, Laguna Niguel, CA 92677-7545 | 2007-05-10 |
| 1245361815 | Michael C Kennedy | Chiropractor | 3580 Rte 281, Cortland, NY 13045 | 2007-03-08 |
| 1245391473 | Michael Arthur Kennedy | Physician Assistant | 111 E Hwy 120, Ste. 104, Pottsboro, TX 75076-3008 | 2006-12-12 |
| 1649346081 | Michael Dustin Kennedy | Family Medicine | 1645 North Main Street, Blacksburg, VA 24060 | 2006-11-28 |
| Street Address |
11310 HURON ST STE 100 |
| City | NORTHGLENN |
| State | CO |
| Zip Code | 80234-3090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396103156 | Catholic Health Initiatives Colorado | Internal Medicine | 11310 Huron St Ste 100, Northglenn, CO 80234-3090 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295206431 | Hannah Whitney Holiday | Nurse Practitioner | 11546 Fowler Dr, Northglenn, CO 80233-2100 | 2018-12-16 |
| 1871011320 | Jennifer Jo Mahoney | Nurse Practitioner | 10975 Manet Way, Northglenn, CO 80234-3315 | 2017-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
| 1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
| 1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
| 1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
| 1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
| 1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | NORTHGLENN |
| Zip Code | 80234 |
Please comment or provide details below to improve the information on MR. MICHAEL PATRICK 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.