STEPHANIE KENNEDY (NPI# 1700340981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700340981 |
| Entity Type | Individual |
| Full Name | STEPHANIE KENNEDY |
| Practice Address |
524 Signal Hill Drive Ext Statesville NC 28625-4391 |
| Practice Telephone | 7048711045 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 69311 | NC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062867 | Stephanie Kennedy | Nutritionist | 207 E Baltimore St, Detroit, MI 48202-3278 | 2020-10-27 |
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1063967339 | Stephanie Kennedy | Contractor | 5890 Kennerly Ave, Saint Louis, MO 63112-3822 | 2016-08-16 |
| 1548461262 | Stephanie Dawn Kennedy | Speech-Language Pathologist | 4626 Preston Woods Dr, Valrico, FL 33594-7872 | 2007-05-30 |
| 1831799923 | Stephanie J Kennedy | Occupational Therapy Assistant | 21630 Merchants Way, Katy, TX 77449-2514 | 2020-10-28 |
| 1073149142 | Stephanie Kennedy | Case Manager/Care Coordinator | 5041 Oaklawn Dr, Cincinnati, OH 45227-1433 | 2020-03-20 |
| 1912551441 | Stephanie M Kennedy | Obstetrics & Gynecology | 1701 South Blvd E Ste 200, Rochester Hills, MI 48307-6116 | 2019-08-01 |
| 1467918441 | Stephanie Kennedy | Technician | 1123 Baldwin St, Salinas, CA 93906-3681 | 2019-02-14 |
| 1144708306 | Stephanie Lisa Kennedy | Speech-Language Pathologist | 3391 Richmond Ave, Staten Island, NY 10312-2025 | 2018-07-31 |
| 1952787624 | Stephanie Kennedy | Occupational Therapist | 1915 W Main St, Russellville, AR 72801-2725 | 2015-08-05 |
| Street Address |
524 SIGNAL HILL DRIVE EXT |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184631582 | Jennifer Pruitt Moore | Counselor | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2006-08-01 |
| 1598385338 | Lisa Scott | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-04-22 |
| 1982235149 | Benny Allen Suttles | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2020-01-27 |
| 1437796737 | Nickysha Mckoy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-12-05 |
| 1265093850 | Kristina Marie Sheybani-agdam | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-06-24 |
| 1386105286 | Deshannon Daniels | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-26 |
| 1568923407 | Linda Caroline Roberts | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-25 |
| 1033691415 | Tashe Alexandria Jones | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-09-03 |
| 1619458619 | David John Miller II | Social Worker | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-08-27 |
| 1194210815 | Amy Sherrill | Clinical Nurse Specialist | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796737 | Nickysha Mckoy | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-12-05 |
| 1265093850 | Kristina Marie Sheybani-agdam | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-06-24 |
| 1386105286 | Deshannon Daniels | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2019-03-26 |
| 1033691415 | Tashe Alexandria Jones | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2018-09-03 |
| 1861904146 | Natalie Leanne Adkins | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-10-26 |
| 1336651835 | Ronda Jones | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-10-25 |
| 1518479021 | Brian Dale Riffe | Licensed Practical Nurse | 318 Turnersburg Hwy, Statesville, NC 28625-2798 | 2017-10-25 |
| 1003327578 | Kimberly Harris | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-10-23 |
| 1952838849 | Bemilliam Lanier | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-05-22 |
| 1720515612 | Candice Vanhoose | Licensed Practical Nurse | 524 Signal Hill Drive Ext, Statesville, NC 28625-4391 | 2017-05-22 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.