NICOLE ROSE KENNEDY (NPI# 1568942415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568942415 |
| Entity Type | Individual |
| Full Name | NICOLE ROSE KENNEDY |
| Practice Address |
1014 Main Street Vancouver WA 98660 |
| Practice Telephone | 3606951014 |
| Practice Fax Number | 2069012010 |
| Mailing Telephone | 3606951014 |
| Mailing Fax Number | 2069012010 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427569987 | Nicole Elizabeth Kennedy | Pharmacist | 343 Pinewood Rd, Sumter, SC 29150-5442 | 2017-10-23 |
| 1609231174 | Nicole L Kennedy | Specialist | 5225 Sandusky Rd, Lima, OH 45801-8734 | 2015-12-28 |
| 1730412958 | Nicole Dyan Kennedy | Physician Assistant | 850 East Harvard Avenue, Suite 285, Denver, CO 80210 | 2009-09-08 |
| 1528145398 | Nicole Celeste Kennedy | Physical Therapist | 612 W Carolina Ave, Hartsville, SC 29550-4410 | 2006-11-01 |
| 1649232372 | Nicole Shuff Kennedy | Nurse Practitioner | 560 N Cleveland Ave, Westerville, OH 43082-9105 | 2006-04-06 |
| 1659996783 | Nicole Kennedy | Student in an Organized Health Care Education/Training Program | 399 Lincoln Rd, Walpole, MA 02081-1218 | 2020-06-15 |
| 1164913489 | Nicole Marie Kennedy | Counselor | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2018-05-22 |
| 1295236842 | Nicole Jean Kennedy | Counselor | 4410 Arapahoe Ave Ste 205, Boulder, CO 80303-1155 | 2018-02-27 |
| 1487169371 | Nicole Kennedy | Chiropractor | 5253 Ne Sandy Blvd, Portland, OR 97213-2562 | 2017-12-13 |
| 1952843252 | Nicole K.a. Kennedy | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2016-11-17 |
| Street Address |
1014 MAIN STREET |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053347070 | David Cameron Hunter | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2006-06-23 |
| 1215400296 | Lynn Anne Roberts | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2019-01-02 |
| 1174099881 | Shelby Massingale | 1014 Main Street, Vancouver, WA 98660 | 2018-10-19 | |
| 1053820498 | Kalinda R Ferguson | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2017-09-28 |
| 1154851574 | Aimee Amodio | Social Worker | 1014 Main Street, Vancouver, WA 98660 | 2017-06-18 |
| 1275063737 | Richard Clark | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2017-06-18 |
| 1508307075 | Ezekiel Brouhard | Assistant Behavior Analyst | 1014 Main Street, Vancouver, WA 98660 | 2017-03-16 |
| 1427508639 | Samuel Moore | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-10-12 |
| 1144774548 | Kayla Lindsay Klemm | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-08-15 |
| 1316301682 | Leah Blanton | Counselor | 1014 Main Street, Vancouver, WA 98660 | 2016-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538784558 | Thomas Owen Hall | Student in an Organized Health Care Education/Training Program | 11004 Ne 97th Ave, Vancouver, WA 98662-1578 | 2020-06-15 |
| 1417577883 | Selina Kwok-yung Wong | Student in an Organized Health Care Education/Training Program | 501-2851 Heather Street, Vancouver, BC V5Z 0A2 | 2020-04-25 |
| 1720607179 | Yehuda Mivasair | Student in an Organized Health Care Education/Training Program | 2644 Manitoba Street, Vancouver, BRITISH COLUMBIA V5Y3A8 | 2020-04-15 |
| 1356992358 | Jennifer Denise Pors | Student in an Organized Health Care Education/Training Program | 3203 910 W 10th Avenue Jennefer Pors, Department of Pathology and Laboratory Medicine Vancouv, Vancouver, BC V5Z 4E3 | 2019-09-23 |
| 1336799022 | Alaina George | Student in an Organized Health Care Education/Training Program | 3209 Grant St, Vancouver, WA 98660-2056 | 2019-09-16 |
| 1508323890 | Faustine Pamela Wallum | Student in an Organized Health Care Education/Training Program | 7405 Ne 56th Ave, Vancouver, WA 98661-1047 | 2019-02-22 |
| 1962974840 | Rachel Guffey | Student in an Organized Health Care Education/Training Program | 2615 Ne 114th St, Vancouver, WA 98686-4237 | 2018-12-17 |
| 1831660471 | Terri Sun | Student in an Organized Health Care Education/Training Program | 1202-668 Citadel Parade, Vancouver, BRITISH COLUMBIA V6B1W6 | 2018-12-07 |
| 1235616400 | Karandeep Prehar | Student in an Organized Health Care Education/Training Program | 8608 Ne 31st Cir, Vancouver, WA 98662-6830 | 2018-07-20 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
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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.