SOFIA KENNEDY PRIETO (NPI# 1639526338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639526338 |
| Entity Type | Individual |
| Full Name | SOFIA KENNEDY PRIETO |
| Other Name | SOFIA TERESE KENNEDY |
| Credential | M.D. |
| Practice Address |
3601 4th St # Ms 6211 Lubbock TX 79430-6211 |
| Practice Telephone | 8067433150 |
| Mailing Telephone | 2103811657 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2017-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | BP10056140 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3601 4TH ST # MS 6211 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346864766 | Blair Ashton Quattrochi | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1770106460 | Christina Leigh Lee | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2020-05-28 |
| 1023674611 | Brandon Rogers | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2019-05-20 |
| 1104312776 | Agyingi Kimbong | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2018-07-07 |
| 1396238481 | Barbara Mantilla | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1053974659 | Jeremy David Purser | Internal Medicine | 3601 4th St # Ms 9400, Lubbock, TX 79430-0002 | 2019-04-18 |
| 1295220481 | Men's Health Institute, LLC | Internal Medicine | 6616 Milwaukee Ave Ste 400, Lubbock, TX 79424-0627 | 2018-06-29 |
| 1639525314 | Nishi Garg | Internal Medicine | 4 Th St, 3601, Lubbock, TX 79430-0001 | 2016-05-11 |
| 1477908903 | Kenneth Iwuji | Internal Medicine | 3601 4th Street Stop 9410, Lubbock, TX 79430-3419 | 2016-05-03 |
| 1346694254 | Peter Khalil | Internal Medicine | 3601 4th St Rm 4b076, Lubbock, TX 79430-0002 | 2016-04-17 |
| 1922472349 | Salman Ahmad, M.d., P.a. | Internal Medicine | 3620 Interstate 27, Lubbock, TX 79404-2348 | 2015-11-23 |
| 1154741148 | Roshni Narayanan | Internal Medicine | 4004 82nd St Ste G, Lubbock, TX 79423-2065 | 2014-04-17 |
| 1053602300 | Rasikh Ajmal | Internal Medicine | 3601 4th St Ms 9410, Lubbock, TX 79430 | 2011-04-20 |
| 1477866721 | John R Smyer Md Pllc | Internal Medicine | 4213 85th St, Suite B, Lubbock, TX 79423-1976 | 2010-07-15 |
| Find all providers in LUBBOCK | ||||
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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.