CRYSTAL NICOLE KENNEDY


Address: 1306 E 7th St#c, Auburn, IN 46706
Phone: 2609250666

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).

Provider Overview

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

Taxonomy

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

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Office Location

Street Address 1306 E 7TH ST#C
City AUBURN
State IN
Zip Code 46706

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1063814952 Keith Matthews Nurse Practitioner 2375 Champions Blvd, Auburn, AL 36830-6471 2014-09-23

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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
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Competitor

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City AUBURN
Zip Code 46706

Improve Information

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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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