SHANNON LYNN KENNEDY (NPI# 1730676263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730676263 |
Entity Type | Individual |
Full Name | SHANNON LYNN KENNEDY |
Credential | LMT |
Practice Address |
995 Westwood Sq Ste A Oviedo FL 32765-9049 |
Mailing Address |
2603 Maitland Crossing Way Apt 10-301 Orlando FL 32810-7106 |
Practice Telephone | 4079777332 |
Mailing Telephone | 4123343083 |
Enumeration Date | 2018-04-19 |
Last Update Date | 2018-04-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA57870 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336612340 | Shannon Kennedy | Specialist/Technologist | 615 Irving Schottenstein Dr., Columbus, OH 43210 | 2019-01-03 |
1861900086 | Shannon Kennedy | Licensed Practical Nurse | 23 Riverview Rd, Binghamton, NY 13901-1922 | 2018-01-22 |
1902159486 | Shannon Marie Kennedy | Pharmacist | 1477 Maccorkle Ave, Saint Albans, WV 25177-1826 | 2012-10-20 |
1316554363 | Shannon Nicole Kennedy | Behavior Technician | 5900 Warm Springs Rd, Columbus, GA 31909-4362 | 2020-09-24 |
1871128090 | Shannon Eileen Kennedy | Chiropractor | 12744 S Pflumm Rd, Olathe, KS 66062-3664 | 2020-03-09 |
1629615729 | Shannon M Kennedy | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2019-12-08 |
1336629575 | Shannon Kennedy | Speech-Language Pathologist | 134 W 26th St Rm 602, New York, NY 10001-6803 | 2018-08-16 |
1376943480 | Shannon Kennedy | Social Worker | 7621 Little Rd, Suite 200, New Port Richey, FL 34654-5567 | 2014-08-26 |
1790110849 | Shannon Margaret Kennedy | Case Manager/Care Coordinator | 848 Central St, Framingham, MA 01701-4815 | 2013-09-09 |
1336492818 | Shannon Kennedy | Pharmacist | 4238 W Hundred Rd, Chester, VA 23831-1505 | 2012-10-20 |
Street Address |
995 WESTWOOD SQ STE A |
City | OVIEDO |
State | FL |
Zip Code | 32765-9049 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316576663 | Robby Hoffmann | Physical Therapist | 800 Red Bug Lake Road, Oviedo, FL 32765 | 2020-04-07 |
1366096836 | Brian Timothy Lowney | Pharmacist | 2871 Clayton Crossing Way #1001, Oviedo, FL 32765 | 2019-08-01 |
1083184634 | Ashley Grace Fuller | Speech-Language Pathologist | 251 Plaza Drive Suite C, Oviedo, FL 32765 | 2018-11-27 |
1164904678 | Katharine Albarella | Dietitian, Registered | 905 S. Lake Jessup Ave, Oviedo, FL 32765 | 2018-08-30 |
1871082396 | Catherine Victoria Wahl | Behavior Technician | 1350 San Remo Pt Apt 102, Oviedo, FL 32765 | 2018-05-10 |
1366943953 | Oviedo Smiles Dentistry, Pa | Dentist | 65 W. Mitchell Hammock Rd., Suite 1511, Oviedo, FL 32765 | 2018-02-28 |
1407385792 | Affordable Dentist | Dentist | 3228, W State Road 426, Suite 1000, Oviedo, FL 32765 | 2017-06-08 |
1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
1174078281 | Dermatology and Skin Cancer Surgery Center, LLC | Dermatology | 7250 Red Bug Lake Rd Ste 1020, Oviedo, FL 32765 | 2016-08-18 |
1780038463 | Matthew Christo | Counselor | 5076 Sugberry Trail, Oviedo, FL 32765 | 2016-04-19 |
Find all providers in zip 32765 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215219159 | Dotie Linia Cantrell | Massage Therapist | 1480 Swanson Dr, Oviedo, FL 32765-5811 | 2011-09-16 |
1245526193 | Cynthia Lee Yetter | Massage Therapist | 470 N Pine Ave, Oviedo, FL 32765-9715 | 2011-06-20 |
1386947174 | Natalie Burns | Massage Therapist | 1813 E Broadway St, Oviedo, FL 32765-8597 | 2010-12-16 |
1356664387 | Linda L Franz | Massage Therapist | 125 Geneva Dr, Oviedo, FL 32765-7204 | 2010-03-04 |
1740510023 | Marlys Mckercher | Massage Therapist | 755 E Chapman Rd, Oviedo, FL 32765-9017 | 2010-01-08 |
1629304431 | Annjeanette Gonzalez | Massage Therapist | 829 Lincoln Pkwy, Oviedo, FL 32765-7847 | 2009-10-29 |
1073749198 | Tonda Marie Miller | Massage Therapist | 2461 W Sr 426, Suite 1051, Oviedo, FL 32765-4508 | 2009-06-03 |
1861632366 | Sharon Kay Hieronimus | Massage Therapist | 1750 W Broadway St, 108, Oviedo, FL 32765-9618 | 2009-02-24 |
1679736185 | Glen Alan Stoner | Massage Therapist | 100 East Broaway St, Oviedo, FL 32765 | 2008-07-03 |
1538339361 | All About Massage, Pllc | Massage Therapist | 385 Harmony Way, Oviedo, FL 32765-9799 | 2008-03-07 |
Find all providers in OVIEDO |
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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.