MRS. MICHELLE LYNN KENNEDY


Address: 51 N Elm St, Waterbury, CT 06702-1511
Phone: 2035744000

MRS. MICHELLE LYNN KENNEDY (NPI# 1891836110) 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) 1891836110
Entity Type Individual
Full Name MRS. MICHELLE LYNN KENNEDY
Credential NP
Practice Address 51 N Elm St
Waterbury
CT 06702-1511
Mailing Address 635 Main St
Attn: Credentialing Dpt
Middletown
CT 06457-2718
Practice Telephone 2035744000
Practice Fax Number 2035744003
Mailing Telephone 8603476971
Mailing Fax Number 8606386601
Enumeration Date 2007-02-09
Last Update Date 2011-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
3620 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
16084 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004236346 05

Other Providers MICHELLE KENNEDY

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1578040754 Michelle B Kennedy Peer Specialist 200 Se Hailey Ave Ste 204, Pendleton, OR 97801-3072 2018-07-20
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1528459021 Michelle Elizabeth Kennedy Nurse Anesthetist, Certified Registered 2416 Couch St, Houston, TX 77008-1632 2015-02-05
1932501434 Michelle Kennedy Licensed Practical Nurse 10827 Ravenna Rd, 103, Twinsburg, OH 44087-2725 2014-09-16
1811103062 Michelle Kathleen Kennedy Marriage & Family Therapist 2251 Grant Road, Suite H, Los Altos, CA 94024-6958 2007-05-15
1801821368 Michelle Kennedy Social Worker 5 W 86th St, Suite 1a, New York, NY 10024-3603 2006-07-12
1528670445 Michelle Ann Kennedy Behavior Technician 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 2020-08-21
1992210744 Michelle Kennedy Counselor 20 Hartford St, Newton Highlands, MA 02461-1517 2017-12-01
1982062857 Michelle L Kennedy Nurse Practitioner 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 2016-02-05
1114367513 Michelle Ann Kennedy Occupational Therapy Assistant 1020 N Union St, Middletown, PA 17057-2158 2013-06-28

Office Location

Street Address 51 N ELM ST
City WATERBURY
State CT
Zip Code 06702-1511

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073149431 Angelica Camacho Social Worker 51 N Elm St, Waterbury, CT 06702-1545 2020-03-18
1619407780 Xi Teng Family Medicine 51 N Elm St, Waterbury, CT 06702-1545 2017-06-12
1881083509 Alissa Tatro Social Worker 51 N Elm St, Waterbury, CT 06702-1545 2015-01-19
1992144190 Nnennaya Duke Family Medicine 51 N Elm St, Waterbury, CT 06702-1545 2013-06-20
1972867208 Community Health Center Inc Clinic/Center 51 N Elm St, Waterbury, CT 06702-1511 2012-07-02
1689938912 Community Health Center Inc. Clinic/Center 51 N Elm St, Waterbury, CT 06702-1511 2012-07-02
1972866556 Community Health Center Inc Clinic/Center 51 N Elm St, Waterbury, CT 06702-1511 2012-06-19
1831474394 Melissa Amicone Registered Nurse 51 N Elm St, Waterbury, CT 06702-1545 2011-10-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316559248 Agape Family Medical Center LLC Nurse Practitioner 1078 W Main St Ste 3, Waterbury, CT 06708-2651 2020-08-21
1508375080 Christina Audet Solomito Nurse Practitioner 133 Scovill St Ste 306, Waterbury, CT 06706-1127 2017-09-27
1558886671 Macaela Cirish Nurse Practitioner 3801 East Main Street, Second Floor, Waterbury, CT 06705 2017-08-09
1609323070 Laila Jones Nurse Practitioner 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 2016-09-02
1124484357 Melanie M.f. Nesprido Nurse Practitioner 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 2016-01-04
1447651690 Matthew L Balanda Nurse Practitioner 1389 W Main St Ste 205, Waterbury, CT 06708-3115 2014-09-08
1831523638 Eileen Anne Knox Nurse Practitioner 1253 W Main St, Waterbury, CT 06702-1418 2013-08-28
1033414867 Steven Paul Jeske Nurse Practitioner 276 Highland Ave Ste A2, Waterbury, CT 06708 2011-01-26
1982853263 Leah Lucarelli Nurse Practitioner 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 2008-09-11
1487713947 Stephanie T Lennon Nurse Practitioner 76 Center St, Waterbury, CT 06702-2140 2006-12-08
Find all providers in WATERBURY

Competitor

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City WATERBURY
Zip Code 06702

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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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