LAURA LISBETH KENNEDY (NPI# 1760938161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760938161 |
| Entity Type | Individual |
| Full Name | LAURA LISBETH KENNEDY |
| Other Name | LAURA IDA LISBETH |
| Credential | RN, FNP-BC |
| Practice Address |
12040 S Lakes Dr Reston VA 20191-1246 |
| Practice Telephone | 7034640686 |
| Mailing Telephone | 7034640686 |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0001232629 | VA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024173863 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215475652 | Laura Kennedy | Nurse Practitioner | 5750 Pineland Dr # 240, Dallas, TX 75231-5300 | 2017-02-06 |
| 1033551205 | Laura Marie Kennedy | Student in an Organized Health Care Education/Training Program | 5000 Battery Ln Apt 602, Bethesda, MD 20814-2646 | 2013-07-29 |
| 1508252446 | Laura Christine Kennedy | Student in an Organized Health Care Education/Training Program | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2015-04-07 |
| 1316289366 | Laura Carpin Kennedy | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37232-4405 | 2013-03-17 |
| 1811238348 | Laura Ann Kennedy | Occupational Therapist | 708 S Race St, Suite D, Port Angeles, WA 98362-6441 | 2013-03-07 |
| 1285988998 | Laura Sullivan Kennedy | Nurse Practitioner | 67 Main St, Medway, MA 02053-1817 | 2012-11-01 |
| 1831457704 | Laura R Kennedy | Pharmacist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2012-04-30 |
| 1417180092 | Laura Lee Kennedy | Nurse Practitioner | 1504 Taub Loop, Physician Services, Houston, TN 77030 | 2009-08-28 |
| 1275732257 | Laura Terese Kennedy | Social Worker | Bldg 786 D Street, Us Army Medical Dept. Activity Behavioral Health Clinic, Ft. Richardson, AK 99505 | 2007-07-11 |
| 1295942209 | Laura Price Kennedy | Psychologist | 28 Mcbride Place, Goshen, NY 10924-2107 | 2007-05-17 |
| Street Address |
12040 S LAKES DR |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674202 | Kevin J Kelleher | Family Medicine | 12040 S Lakes Dr, Ste 207, Reston, VA 20191-1246 | 2005-07-26 |
| 1528386224 | Ehs Corporate Care | Internal Medicine | 12040 S Lakes Dr, Suite 205, Reston, VA 20191-1246 | 2010-05-06 |
| 1831423144 | Aramesh Darvishian Dds | Dentist | 12040 S Lakes Dr, Suite 200, Reston, VA 20191-1246 | 2009-09-21 |
| 1760664007 | Executive Healthcare Services Pllc | Family Medicine | 12040 S Lakes Dr, Suite 195, Reston, VA 20191 | 2007-11-28 |
| 1821279381 | Deanna Lynn Markley | Physician Assistant | 12040 S Lakes Dr, Suite 207, Reston, VA 20191-1246 | 2007-11-26 |
| 1952502056 | Mary Elizabeth Mcgrath | Family Medicine | 12040 S Lakes Dr, Ste 190, Reston, VA 20191-1245 | 2007-05-29 |
| 1124239470 | Generations Family Medicine PC | Family Medicine | 12040 S Lakes Dr, Ste 190, Reston, VA 20191-1246 | 2007-05-25 |
| 1942418876 | Robin Susan Cohen | Social Worker | 12040 S Lakes Dr, Suite 204, Reston, VA 20191-1246 | 2007-05-21 |
| 1639241771 | Mark Emanuel Vasiliadis | Family Medicine | 12040 S Lakes Dr, Suite 195, Reston, VA 20191-1246 | 2006-11-14 |
| 1902998552 | Mina Garrett-scott | Family Medicine | 12040 S Lakes Dr, Suite 207, Reston, VA 20191-1246 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1033736525 | Kathleen Judge Bowie | Nurse Practitioner | 1650 Parkcrest Cir Apt 300, Reston, VA 20190-4941 | 2020-06-30 |
| 1386268613 | Nicole Christine Cash | Nurse Practitioner | 1860 Town Center Dr Ste 150&160, Reston, VA 20190-5896 | 2020-06-02 |
| 1821631748 | Kyler Philbin | Nurse Practitioner | 1850 Town Center Pkwy Ste 314, Reston, VA 20190-3300 | 2019-10-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1578045738 | Alexis Puedan Bergemann | Nurse Practitioner | 1542 Deer Point Way, Reston, VA 20194-1590 | 2018-09-05 |
| 1821500521 | Brittany Beczkiewicz Harris | Nurse Practitioner | 12018 Sunrise Valley Dr Ste 400, Reston, VA 20191-3434 | 2017-11-02 |
| 1568982601 | Stephanie Dean Richards | Nurse Practitioner | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2017-06-20 |
| 1114454196 | Renee Hadeed | Nurse Practitioner | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-05-22 |
| 1467796177 | William Joseph Cauley Jr. | Nurse Practitioner | 1109 Saffold Way, Us Government Employee, Reston, VA 20190-3816 | 2012-11-19 |
| Find all providers in RESTON | ||||
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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.