MELISSA JANE KENNEDY (NPI# 1760883086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760883086 |
| Entity Type | Individual |
| Full Name | MELISSA JANE KENNEDY |
| Practice Address |
19 Sweetser Ter Lynn MA 01904-2608 |
| Practice Telephone | 3394402129 |
| Mailing Telephone | 3394402129 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1467837625 | Melissa Kennedy | Occupational Therapist | 10115 Nanford Rd, Cleveland, OH 44102-1652 | 2015-07-29 |
| 1598959876 | Melissa H Kennedy | Emergency Medicine | Msc 10-5550 1 University of New Mexico, Albuquerque, NM 87131-2745 | 2007-08-30 |
| 1497243380 | Melissa Kay Kennedy | Occupational Therapy Assistant | 9114 Royal Ln, Waco, TX 76712-8469 | 2018-04-25 |
| 1053818088 | Melissa Kennedy | Technician | 405 Idaho St Ste 215, Elko, NV 89801-3753 | 2018-04-06 |
| 1710424692 | Melissa Kennedy | Counselor | 3643 Walton Way Ext, Augusta, GA 30909-4507 | 2017-01-30 |
| 1578966982 | Melissa Fay Kennedy | Anesthesiologist Assistant | 7700 W Sunrise Blvd, Plantation, FL 33322-4113 | 2014-09-29 |
| 1265878003 | Melissa Anne Kennedy | Physical Therapy Assistant | 9850 Old Perry Hwy, Wexford, PA 15090-9311 | 2013-05-20 |
| 1477800514 | Melissa Gray Kennedy | Social Worker | 2515 E Nc Highway 54, Buliding 2200, Durham, NC 27713-5263 | 2012-08-08 |
| 1598061830 | Melissa Joy Kennedy | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-02-03 |
| Street Address |
19 SWEETSER TER |
| City | LYNN |
| State | MA |
| Zip Code | 01904-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1700301876 | Chris-ann Dawkins | Behavioral Analyst | 169 Den Quarry Road, Lynn, MA 01904 | 2017-08-09 |
| 1063953594 | Juli M Knight | Specialist/Technologist, Other | 9 Boston St, 2nd Floor, Lynn, MA 01904 | 2017-03-16 |
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1366645665 | Robert E Sloane Md PC | Surgery | 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 | 2007-06-06 |
| 1881895290 | Joseph T. Pinho | Counselor | Children's Friends, 30 Boston St., Lynn, MA 01904 | 2007-05-31 |
| 1033271010 | Prabakar Thyagarajan | Psychiatry & Neurology | 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 | 2006-12-15 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568531515 | Kerry Ann Washburn | Counselor | 30 Boston Street, Children's Friend, Lynn, MA 01904 | 2006-11-06 |
| 1033121033 | Joseph A Wescott | Dentist | 341 Western Avenue, Lynn, MA 01904 | 2006-08-12 |
| Find all providers in zip 01904 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791823 | Aldo Mali | Student in an Organized Health Care Education/Training Program | 16 Rand St, Lynn, MA 01904-2914 | 2020-08-19 |
| 1750999439 | Francky L Beaubrun | Student in an Organized Health Care Education/Training Program | 17 Glen Ct, Lynn, MA 01905-1853 | 2020-07-17 |
| 1285087866 | Anis Pichardo | Student in an Organized Health Care Education/Training Program | 95 Pleasant St # 1, Lynn, MA 01901-1524 | 2016-07-19 |
| 1992932180 | Bobby Siharath | Student in an Organized Health Care Education/Training Program | 285 Summer St, Lynn, MA 01902-4503 | 2009-06-16 |
| 1528606738 | Alessandra Christine Frissora | Student in an Organized Health Care Education/Training Program | 269 Union St, Lynn, MA 01901-1314 | 2019-12-18 |
| 1043782717 | Kannika Chap | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-12-19 |
| 1568931459 | Cindi C Flores | Student in an Organized Health Care Education/Training Program | 20 Central Ave, Lynn, MA 01901-1201 | 2018-11-20 |
| 1477021632 | Elyse Taylor Mccue | Student in an Organized Health Care Education/Training Program | 181 Union St, Lynn, MA 01901-1311 | 2018-11-06 |
| 1295202851 | Elizabeth Mary Currier | Student in an Organized Health Care Education/Training Program | 269 Union St, Lynn, MA 01901-1314 | 2018-10-31 |
| 1275017618 | Kathryn Thibedeau | Student in an Organized Health Care Education/Training Program | 269 Union Street, Lynn Community Health Center, Lynn, MA 01901 | 2018-09-21 |
| Find all providers in LYNN | ||||
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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.