MRS. ANNE B KENNEDY (NPI# 1760655906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760655906 |
| Entity Type | Individual |
| Full Name | MRS. ANNE B KENNEDY |
| Credential | RDH |
| Practice Address |
1801 W Wisconsin Ave Milwaukee WI 53233-2186 |
| Mailing Address |
1801 W Wisconsin Ave 004 Milwaukee WI 53201-1881 |
| Practice Telephone | 4142880762 |
| Practice Fax Number | 4142880678 |
| Mailing Telephone | 4142880762 |
| Mailing Fax Number | 4142880678 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 2887016 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33810500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366482861 | Anne Kennedy | Psychologist | 2711 N Maple Rd, Ann Arbor, MI 48103-2158 | 2006-06-07 |
| 1336749209 | Anne Kennedy | Nurse Practitioner | 101 Philip Roth St, Newport News, VA 23606-1393 | 2020-10-29 |
| 1083220412 | Anne Kennedy | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2020-09-21 |
| 1154807758 | Anne Kennedy | Pharmacist | 11420 Lackland Rd, Saint Louis, MO 63146-3561 | 2018-07-17 |
| 1669774063 | Anne Kennedy | Behavioral Analyst | 9350 S 150 E, Suite 850, Sandy, UT 84070-2702 | 2010-11-17 |
| 1992922819 | Anne M Kennedy | Nurse Practitioner | 600 E 233rd St, Bronx, NY 10466-2604 | 2007-04-20 |
| 1740377795 | Anne Maria Kennedy | Radiology | 50 N Medical Dr, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1023123577 | Anne Marie Kennedy | Social Worker | 151 Mystic Ave, Medford, MA 02155-4632 | 2006-08-21 |
| Street Address |
1801 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693099 | Brian David Hodgson | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2005-10-20 |
| 1114524493 | Jamie L Perugini | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-10-08 |
| 1063036143 | Manasa Rao | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-06-03 |
| 1265054332 | Mari Liestman | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-12 |
| 1790307965 | Vy Nguyen | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-11 |
| 1073135349 | Sara Jean Link | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-10 |
| 1588285696 | Hannah Lea Bonikowske | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-29 |
| 1932728425 | James Dentino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-14 |
| 1396374070 | Alexander Vaun Padalino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-05 |
| 1487283404 | Charles Allen Hauge | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850614 | Michelle Boettcher | Dental Hygienist | 2552 S Brisbane Ave, Milwaukee, WI 53207-1502 | 2015-09-09 |
| 1093110058 | Florina Pinskaya | Dental Hygienist | 4302 N 76th St, Milwaukee, WI 53222-2004 | 2014-11-01 |
| 1699192948 | Elizabeth S Dietzler | Dental Hygienist | 4619 W Blue Mound Ct, Milwaukee, WI 53208-3607 | 2014-03-25 |
| 1508188764 | Oleesa Shapowal | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2010-02-15 |
| 1033360763 | Kory Pilkington | Dental Hygienist | 1308 S. Cesar Chavez Drive, Milwaukee, WI 53204-0408 | 2008-09-30 |
| 1477725786 | Gina L Tolson | Dental Hygienist | 2669 N 92nd St, Milwaukee, WI 53226-1800 | 2008-03-26 |
| 1215020128 | Sharon Wildes | Dental Hygienist | Milwaukee Vamc Dental Clinic, 5000 National Ave, Milwaukee, WI 53295-0001 | 2006-10-02 |
| 1255360632 | Carol Lynn Bright | Dental Hygienist | 1135 South Cesar Chavez Drive, Milwaukee, WI 53204 | 2006-06-30 |
| 1790781185 | Michele Straetz | Dental Hygienist | 2306 S Kinnickinnic Ave, Milwaukee, WI 53207-1626 | 2005-06-22 |
| 1336748516 | Amber M Randle | Dental Hygienist | 1730 S 13th St, Milwaukee, WI 53204-3201 | 2020-10-20 |
| Find all providers in MILWAUKEE | ||||
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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.