MRS. GENEVA NOELLE KENNEDY (NPI# 1790233765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790233765 |
| Entity Type | Individual |
| Full Name | MRS. GENEVA NOELLE KENNEDY |
| Other Name | MISS GENEVA NOELLE KNUTH |
| Credential | WHNP |
| Practice Address |
7695 Cardinal Ct Ste 240 San Diego CA 92123-3357 |
| Mailing Address |
18 Robert St Apartment 6 Roslindale MA 02131-2539 |
| Practice Telephone | 8582779378 |
| Practice Fax Number | 8582779370 |
| Mailing Telephone | (858) 705-3139 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2017-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95102883 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | RN2303029 | MA | Nursing Service Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NPF95005449 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
N95005449 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN2303029 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP95005449 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7695 CARDINAL CT STE 240 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669556460 | Yvonne Celeste Goff | Obstetrics & Gynecology | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2006-10-25 |
| 1902412885 | Elizabeth A Passot | Nurse Practitioner | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2020-09-16 |
| 1306307541 | Christine Evangeline Moll-garibay | Nurse Practitioner | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2019-03-29 |
| 1215309885 | Kristina Liner | Physician Assistant | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2015-10-22 |
| 1225319742 | Lisa Christine Underwood | Obstetrics & Gynecology | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2011-08-30 |
| 1700171451 | Kaitlin Hoover | Obstetrics & Gynecology | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2011-06-10 |
| 1184923336 | Kristin Moosmann Engorn | Obstetrics & Gynecology | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2011-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982000352 | Elizabeth C Kicko | Nurse Practitioner | 4514 38th Street, San Diego, CA 92105-1108 | 2014-11-13 |
| 1962804765 | Michelle Luneau | Nurse Practitioner | 7067 Glenflora Ave, San Diego, CA 92119-2947 | 2014-09-23 |
| 1588855357 | Susan Achen | Nurse Practitioner | 5555 Reservoir Dr Ste 207, San Diego, CA 92120-5149 | 2007-08-07 |
| 1295941623 | Brenda J Allen | Nurse Practitioner | 4474 El Cajon Blvd, San Diego, CA 92115-4312 | 2007-05-15 |
| 1831275866 | Roslyn Jones Jackson | Nurse Practitioner | 2450 Craven Streeet, San Diego, CA 92136 | 2006-10-31 |
| 1376540039 | Rosanne Gephart | Nurse Practitioner | 3630 Enterprise St, San Diego, CA 92110-3212 | 2005-07-07 |
| 1154969905 | Allegra Conway | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-12-11 |
| 1306307541 | Christine Evangeline Moll-garibay | Nurse Practitioner | 7695 Cardinal Ct Ste 240, San Diego, CA 92123-3357 | 2019-03-29 |
| 1760963532 | Anna Woertler | Nurse Practitioner | 9455 Clairemont Mesa Blvd, San Diego, CA 92123-1297 | 2018-08-28 |
| 1922542927 | Anne Cullen Belke | Nurse Practitioner | 1075 Camino Del Rio S, San Diego, CA 92108-3538 | 2016-12-09 |
| Find all providers in SAN DIEGO | ||||
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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.