MARIE D. KENNEDY (NPI# 1881780807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881780807 |
Entity Type | Individual |
Full Name | MARIE D. KENNEDY |
Credential | PAC |
Practice Address |
2675 Central Ave Billings MT 59102-6686 |
Mailing Address |
Po Box 35100 Billings MT 59107-5100 |
Practice Telephone | 4062382500 |
Mailing Telephone | 4062382500 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2014-12-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 159 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | MDCD PIN | 0432769 | 01 |
MT | BCBS PIN | 000091603 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811543358 | Marie Tyla Kennedy | Case Manager/Care Coordinator | 401 Whitney Ave, Gretna, LA 70056-2558 | 2019-08-12 |
1851899140 | Marie Antoinette Kennedy | Nurse Practitioner | 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 | 2018-02-01 |
Street Address |
2675 CENTRAL AVE |
City | BILLINGS |
State | MT |
Zip Code | 59102-6686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427046713 | Robyn Nicole Clausen | Optometrist | 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 | 2005-10-11 |
1083192025 | Tyson Vanderby | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2018-08-01 |
1952826216 | Zachary Alan Halgren | Nurse Practitioner | 2675 Central Ave, Billings, MT 59102-6686 | 2017-08-08 |
1073058731 | Jessica Forsch | Optometrist | 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 | 2017-01-04 |
1316325160 | Zachary Taylor Dds Pllc | Dentist | 2675 Central Ave, Suite 10, Billings, MT 59102-6686 | 2015-05-13 |
1720405996 | Leslie D Taylor | Physical Therapist | 2675 Central Ave, Billings, MT 59102-6686 | 2014-03-25 |
1124450853 | Heather Ann Schroder | Nurse Practitioner | 2675 Central Ave, Billings, MT 59102-6686 | 2013-08-05 |
1598105744 | Thaddeus Walker Honaker | Dentist | 2675 Central Ave, Ste 13, Billings, MT 59102-6686 | 2013-07-02 |
1669739710 | Joseph James Peila | Internal Medicine | 2675 Central Ave, Billings, MT 59102 | 2012-04-13 |
1912288283 | Bridget C Eckley | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2011-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
Find all providers in zip 59102 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972019925 | Kevin K Davis Jr. | Physician Assistant | 1101 N 27th St Ste F, Billings, MT 59101-0100 | 2017-12-28 |
1154770014 | Kristin K. Nelson Baumert | Physician Assistant | 3737 Grand Ave., Suite 6, Billings, MT 59102-6258 | 2016-06-10 |
1508232588 | Elliy Phillips | Physician Assistant | 801 N 29th St Fl 4, Billings, MT 59101-0905 | 2015-08-13 |
1366843914 | Chad Jason Holgard | Physician Assistant | 445 Constitution Ave, Billings, MT 59105-1515 | 2014-09-12 |
1144528258 | Kristine Marie Lippert | Physician Assistant | 1041 N. 29th Street, Billings, MT 59101 | 2011-03-14 |
1720383813 | Max D Dangerfield | Physician Assistant | 2525 4th Ave N, Suite 201, Billings, MT 59101-1312 | 2011-01-20 |
1902033442 | Amber Dawn Zito | Physician Assistant | 1020 N 27th St Ste 301, Billings, MT 59101-0756 | 2009-06-11 |
1194924621 | Matt T Furber | Physician Assistant | 2900 12th Ave N Ste 265w, Billings, MT 59101-7501 | 2007-07-14 |
1356566434 | Anne E Burns | Physician Assistant | 3307 Grand Ave Ste 201, Billings, MT 59102-6551 | 2007-04-16 |
1487646949 | John L Swanson | Physician Assistant | 2825 8th Ave N, Billings, MT 59101-0909 | 2005-08-19 |
Find all providers in BILLINGS |
Please comment or provide details below to improve the information on MARIE D. 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.