KRISTIN KENNEDY (NPI# 1790052181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790052181 |
Entity Type | Individual |
Full Name | KRISTIN KENNEDY |
Credential | LADAC |
Practice Address |
6464 Monte Serrano Ne Albuquerque NM 87111-1284 |
Practice Telephone | 5057152577 |
Mailing Telephone | 5057152577 |
Enumeration Date | 2011-11-29 |
Last Update Date | 2011-11-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0089291 | NM | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639552722 | Kristin Kennedy | Surgery | 2000 Memorial Drive, Farrell, PA 16121 | 2015-07-07 |
1679857098 | Kristin Joy Kennedy | Specialist | 155 Liberty St. Ne Suite 360, Salem, OR 97301 | 2011-10-04 |
1710279328 | Kristin Kennedy | Counselor | 1687 Hudderfield Cir W, Jacksonville, FL 32246-0652 | 2011-05-15 |
1144836735 | Kristin N Kennedy | Speech-Language Pathologist | 1 Oakwood Blvd Ste 130, Hollywood, FL 33020-1937 | 2020-09-18 |
1487167334 | Kristin Kennedy | Nurse Anesthetist, Certified Registered | 3300 Oakdale Ave N, Minneapolis, MN 55422-2926 | 2017-11-14 |
1396289070 | Kristin Danielle Kennedy | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2016-12-14 |
1245614353 | Kristin Kennedy | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2015-07-17 |
1164801965 | Kristin Kennedy | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-05-26 |
1518137843 | Kristin Dietz Kennedy | Nurse Practitioner | 7766 Ewing Blvd, Ste 100, Florence, KY 41042-7537 | 2008-03-03 |
1710051529 | Kristin L Kennedy | Counselor | 20174 Front Street, Poulsbo, WA 98342 | 2006-11-20 |
Street Address |
6464 MONTE SERRANO NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87111-1284 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
Find all providers in zip 87111 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
1245719665 | Ashley Tapia | Counselor | 125 Candelaria Rd Nw, Albuquerque, NM 87107-2210 | 2018-08-07 |
1194226415 | Aurora R Cata | Counselor | 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
1689198582 | Margaret Ann Garberina | Counselor | 4031 Mackland Ave Ne, Albuquerque, NM 87110-7711 | 2017-08-01 |
1699229559 | Louise Blazquez | Counselor | 8000 Roma Ave Ne, Albuquerque, NM 87108-2334 | 2016-08-09 |
1861848632 | Recovery Services of New Mexico, LLC | Counselor | 1711 Isleta Blvd Sw, Albuquerque, NM 87105-4635 | 2016-05-10 |
1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
1285095257 | Robert Barnes | Counselor | 8613 Democracy Rd Ne, Albuquerque, NM 87109-5181 | 2016-03-17 |
1366809089 | Elizabeth Hawkins | Counselor | 7005 Avenida La Costa Ne, Albuquerque, NM 87109-3927 | 2016-01-26 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87111 |
Please comment or provide details below to improve the information on KRISTIN KENNEDY.
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.