KRISTIN KENNEDY


Address: 6464 Monte Serrano Ne, Albuquerque, NM 87111-1284
Phone: 5057152577

KRISTIN KENNEDY (NPI# 1790052181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

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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

Office Location

Street Address 6464 MONTE SERRANO NE
City ALBUQUERQUE
State NM
Zip Code 87111-1284

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City ALBUQUERQUE
Zip Code 87111

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Dataset Information

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.

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