CRYSTAL NICOLE KENNEDY (NPI# 1902267057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902267057 |
Entity Type | Individual |
Full Name | CRYSTAL NICOLE KENNEDY |
Credential | F.N.P. |
Practice Address |
1306 E 7th St#c Auburn IN 46706 |
Mailing Address |
1306 E 7th St Ste C Auburn IN 46706-2537 |
Practice Telephone | 2609250666 |
Practice Fax Number | 2609250669 |
Mailing Telephone | 2605802584 |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006117A | IN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134579469 | Crystal Marie Kennedy | Social Worker | 7 Vine St, Chesterfield, IN 46017-1618 | 2016-06-17 |
1982241576 | Crystal Kennedy | Behavior Technician | 6516 Broadway St, Suite 112, Pearland, TX 77581-7880 | 2019-12-03 |
1881061133 | Crystal Kennedy | Counselor | 315 S College Rd, Suite 220, Lafayette, LA 70503-3212 | 2015-08-21 |
Street Address |
1306 E 7TH ST#C |
City | AUBURN |
State | IN |
Zip Code | 46706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942843701 | Lara Maria Lahr | Advanced Practice Midwife | Auburn Ob/gyn, 1316 East 7th Street Suite 2, Auburn, IN 46706 | 2019-10-24 |
1982180501 | Kersten L. Weigle | Nurse Practitioner | 1310 E 7th St Ste F, Auburn, IN 46706 | 2018-07-17 |
1902264203 | Andrew Delagrange | Student in an Organized Health Care Education/Training Program | 1021 Eckhart Avenue, Auburn, IN 46706 | 2016-02-02 |
1164839007 | Morgan Ariel Buchs | Physical Therapist | 353 N. Grandstaff Dr., Auburn, IN 46706 | 2014-07-11 |
1407139546 | Stacy Marie Smith | Registered Nurse | 1310 E 7th St., Ste J, Auburn, IN 46706 | 2011-09-26 |
1518262807 | Kori B Engdahl | Advanced Practice Midwife | 1310 East 7th Street, Suite M, Auburn, IN 46706 | 2011-01-18 |
1588986541 | Jack Phillip Covell | General Practice | 5631 Co Rd 29, Auburn, IN 46706 | 2010-02-18 |
1396914271 | Midwest Eye Consultants, P.C. | Optometrist | 750 N. Grandstaff Dr., Auburn, IN 46706 | 2008-02-26 |
1700077013 | Tyler Elliott Helm | Physical Therapist | 510 N. Grandstaff Dr., Auburn, IN 46706 | 2007-08-05 |
1033285846 | Brian William Roth | Physical Therapist | 510 N Grandstaff Dr, Auburn, IN 46706 | 2006-11-27 |
Find all providers in zip 46706 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104476423 | Anaidra L Reese | Nurse Practitioner | 2079 S Evergreen Dr, Auburn, AL 36830-6942 | 2019-09-18 |
1316566888 | Auburn Primary Care and Aesthetic S | Nurse Practitioner | 489 Washington St Ste 202, Auburn, MA 01501-5709 | 2020-04-14 |
1063814952 | Keith Matthews | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2014-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
Find all providers with the same taxonomy |
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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.