ANNETTE KENNEDY


Address: 112 N Broad St, Philadelphia, PA 19102-1512
Phone: 2155680860

ANNETTE KENNEDY (NPI# 1851948848) 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) 1851948848
Entity Type Individual
Full Name ANNETTE KENNEDY
Practice Address 112 N Broad St
Philadelphia
PA 19102-1512
Practice Telephone 2155680860
Enumeration Date 2019-08-23
Last Update Date 2019-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PN306496 PA Nursing Service Providers

Other Providers ANNETTE KENNEDY

NPI Name Taxonomy Address Enumeration
1619023165 Annette Covelace Kennedy Psychologist 19 Muzzey Street, Lexington, MA 02421 2007-01-26
1871892612 Annette T Kennedy Nurse Practitioner 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 2011-03-18
1801908082 Annette Kennedy Psychologist 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2006-08-31

Office Location

Street Address 112 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19102-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619088788 John F. Kennedy Community Mh/mr Center Social Worker 112 N Broad St, Philadelphia, PA 19102-1510 2006-08-31
1083261028 Kelly Courtney Case Manager/Care Coordinator 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1093362097 Doven Brezner Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1891342804 Anna Jackson Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1881241867 Jasmine Barnes Case Manager/Care Coordinator 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1366099343 Emma Ledden Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1801443890 Jasmine Richardson Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1831746833 Sean Terence Smith Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1962059972 Marybeth Goldberg Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1104398783 Jenniya Douglas Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2018-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659987907 Khatifa Bundy Licensed Practical Nurse 2327 W Hagert St, Philadelphia, PA 19132-4246 2020-09-22
1457967903 Assanatu Monorma Bah Licensed Practical Nurse 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 2020-09-21
1376159988 Sierra Alexis Gadson Licensed Practical Nurse 2151 Knorr St, Philadelphia, PA 19149-2307 2020-09-18
1285246751 Anisha Streeter Licensed Practical Nurse 152 Rosemar St, Philadelphia, PA 19120-1943 2020-08-17
1194333708 Stella Boapiah Licensed Practical Nurse 8767 Cottage St, Philadelphia, PA 19136-2123 2020-07-20
1083222178 France Dhaiti Licensed Practical Nurse 624 Adams Ave, Philadelphia, PA 19120-2112 2020-07-15
1831716810 Elizabeth Nija Bates Licensed Practical Nurse 6020 N 19th St, Philadelphia, PA 19141-1316 2020-06-25
1730715947 Danyelle Alston-johnson Licensed Practical Nurse 915 Flanders Rd, Philadelphia, PA 19151-3011 2020-03-19
1760018220 Daneyah Boyer Licensed Practical Nurse 2015 W Godfrey Ave, Philadelphia, PA 19138-3035 2020-03-17
1326674805 Deajah Burney-wright Licensed Practical Nurse 3146 N Hemberger St, Philadelphia, PA 19132-1432 2020-03-17
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19102

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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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