TANNER MICHAEL KENNEDY


Address: 17807 Crooked Mile Rd Apt 7, Granite Falls, WA 98252-8742
Phone: 4255983600

TANNER MICHAEL KENNEDY (NPI# 1659832822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659832822
Entity Type Individual
Full Name TANNER MICHAEL KENNEDY
Practice Address 17807 Crooked Mile Rd Apt 7
Granite Falls
WA 98252-8742
Mailing Address 1242 State Ave. Ste. I Pmb 93
Marysville
WA 98270
Practice Telephone 4255983600
Mailing Telephone 4255983600
Enumeration Date 2019-03-28
Last Update Date 2019-03-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 374U00000X Home Health Aide HM60927797 WA Nursing Service Related Providers

Office Location

Street Address 17807 CROOKED MILE RD APT 7
City GRANITE FALLS
State WA
Zip Code 98252-8742

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336755875 Sonia Guadalupe Lopez-nava Interpreter 304 E Stanley Street, Granite Falls, WA 98252 2020-09-21
1265807739 New Day Community Counseling, LLC Community/Behavioral Health 108 Cascase Ave. Suite A, Granite Falls, WA 98252 2015-12-09
1609242700 Madysen Pruss Social Worker 3223 Robe Menzel Rd, Granite Falls, WA 98252 2015-08-12
1245614924 Krystal Schultz Counselor 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 2015-07-13
1760804827 Barry Tanne, M.d. Family Medicine 403 South Granite Ave, Granite Falls, WA 98252 2014-01-09
1548400187 K L Everett Dds Pllc Clinic/Center 207 E Stanley St Suite B, Granite Falls, WA 98252 2009-02-23
1154580637 Julie Ann Stark Specialist 110 South Alder Ave, Granite Falls, WA 98252 2008-06-09
1750581088 James Charles Kussy General Practice 6119 Robe Menzel Road, Granite Falls, WA 98252 2007-07-24
1326241027 Kristi Ann Vitale I Massage Therapist 403 W. Stanley Street, Granite Falls, WA 98252 2007-06-08
1134343254 Snohomish County Fire District 17 Ambulance 116 S. Granite Avenue, Granite Falls, WA 98252 2007-04-12
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Taxonomy Information

Taxonomy Code 374U00000X
Grouping Nursing Service Related Providers
Classification Home Health Aide

Taxonomy Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1477168201 Michael Lacy Home Health Aide 2542 Bodie Mountain Rd, Colville, WA 99114-9663 2020-09-09
1053936112 Aleesha J Denton Home Health Aide 95 33rd St Nw, Wenatchee, WA 98802-9547 2020-06-14
1932723665 In-home Care, Northern Suburbs, LLC Home Health Aide 6405 218th St Sw Ste 308, Mountlake Terrace, WA 98043-2180 2020-05-28
1376164343 Patricia King Home Health Aide 407 Valley Ave Ne Apt W203, Puyallup, WA 98372-6949 2020-04-30
1801416797 Jamel A Ervin Home Health Aide 29109 47th Ave S, Auburn, WA 98001-2860 2020-04-21
1750901864 Kyle Donovan Oswalt Home Health Aide 8101 83rd Ave Sw Apt A1, Lakewood, WA 98498-6064 2020-04-17
1487286084 Clifford G Classen Home Health Aide 11214 47th Ave Se, Everett, WA 98208-9664 2020-02-11
1245870997 Peyton Zain Maxwell Home Health Aide 605 Index Avenue, Index, WA 98256 2020-01-10
1891333282 Gail Lee Muscato Home Health Aide 2698 Maplewood Dr, Longview, WA 98632-4600 2019-12-16
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Competitor

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City GRANITE FALLS
Zip Code 98252

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Dataset Information

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.

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