COLLEEN RENEE KENNEDY (NPI# 1902460504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902460504 |
| Entity Type | Individual |
| Full Name | COLLEEN RENEE KENNEDY |
| Practice Address |
9300 Valley Childrens Pl Madera CA 93636-8762 |
| Mailing Address |
629 Bemis Heights Pl Saint Charles MO 63303-1752 |
| Practice Telephone | 5593533000 |
| Mailing Telephone | 6366974793 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861863219 | Colleen Kennedy | Occupational Therapist | 214 Dylan Ln, Phoenixville, PA 19460-4770 | 2015-10-12 |
| 1366547317 | Colleen M Kennedy | Internal Medicine | 6401 El Verde Rd, San Antonio, TX 78238-2323 | 2006-09-14 |
| 1508897810 | Colleen I Kennedy | Surgery | 1309 Ridge Rd, Suite 109, Rockwall, TX 75087-4206 | 2006-07-05 |
| 1861989378 | Colleen L Kennedy | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2018-04-19 |
| 1083014278 | Colleen Kennedy | Specialist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2014-08-26 |
| 1649571753 | Colleen H Kennedy | Physical Therapist | 1000 Broadway, Chelsea, MA 02150-2247 | 2010-11-04 |
| 1134449077 | Colleen Kennedy | Midwife | 2700 Remington Ave Ste 2000, Baltimore, MD 21211 | 2010-06-02 |
| 1982767299 | Colleen Anne Kennedy | Chiropractor | 1s376 Summit Ave, Court B Suite 2a, Oakbrook Terrace, IL 60181-3985 | 2006-12-18 |
| 1679661755 | Colleen Kennedy | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-10-11 |
| 1821190679 | Colleen A Kennedy | Orthopaedic Surgery | 3301 Woodburn Rd #208, Annandale, VA 22003-1200 | 2006-09-02 |
| Street Address |
9300 VALLEY CHILDRENS PL |
| City | MADERA |
| State | CA |
| Zip Code | 93636-8762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405753 | Fred H Laningham | Radiology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2005-05-24 |
| 1043811953 | Ashley Nicole Peton | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-11-06 |
| 1063013308 | Samantha Carballo Austin | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1982205217 | Stefanie Marie Gibbons | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-11-03 |
| 1114525128 | Kristin Leann Lokey | Social Worker | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-10-12 |
| 1770190969 | Mallory King | Physician Assistant | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-30 |
| 1356957161 | Sabrina Star Tovar | Audiologist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-17 |
| 1790391621 | Alyssa Catherine Nakaguchi | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-09-16 |
| 1740894773 | Heather Goossen | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-09-08 |
| 1184236820 | Renzio Menico Bantayan Apostol | Pharmacist | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043695257 | Kati Pitts | Social Worker | 9300 Valley Children's Pl., Madera, CA 93636 | 2015-07-29 |
| 1386903177 | Christina Lee-ann Badgett | Registered Nurse | 40617 Rd 406, Madera, CA 93636 | 2012-05-14 |
| 1205134897 | Gina West | Counselor | 10120 Lanes Bridge Dr, Madera, CA 93636 | 2011-03-04 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1013144179 | Cynthia Romer Fata | Pathology | 9300 Valley Childrens Pl # Sc12, Madera, CA 93636 | 2009-06-16 |
| 1689815888 | Nasser Moiduddin | Pediatrics | 9300 Valley Childrens Pl # PC14, Madera, CA 93636 | 2009-03-18 |
| 1174503338 | James Clifton Horspool | Pediatrics | 9300 Valley Children's Place, Mb01, Madera, CA 93636 | 2006-01-21 |
| 1205818465 | James Weston Hole | Obstetrics & Gynecology | 9300 Valley Children's Pl, Fe16, Madera, CA 93636 | 2005-11-15 |
| 1679056493 | Catherine K. Beaumier | Surgery | 9300 Valley Children's Pl., Madera, CA 93636 | 2018-09-07 |
| 1912492216 | Ji Yeon Kwon | Registered Nurse | 9300 Valley Childrens Pl # Ge07, Madera, CA 93636 | 2018-06-28 |
| Find all providers in zip 93636 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898149 | Kaylee Ruiz | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2020-07-10 |
| 1578186342 | Hafsah Fatimah Jamil | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2020-05-27 |
| 1346803947 | Chloe Dugger | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2019-04-18 |
| 1023501251 | Kady Marie Murphy | Genetic Counselor, MS | 9300 Valley Childrens Pl # Ge21, Madera, CA 93636-8762 | 2018-06-12 |
| 1396255196 | Nathan Hassel | Genetic Counselor, MS | 9300 Valley Childrens Pl # Ge21, Madera, CA 93636-8761 | 2017-10-05 |
| 1184074460 | Kanchi Nilesh Barfiwala | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-06-16 |
| 1164877528 | Rebecca L Freeman | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2016-05-04 |
| 1538225784 | Judith Lynn Phalin | Genetic Counselor, MS | 9300 Valley Childrens Pl, Mb19, Madera, CA 93638-8761 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058950 | Daisy Hernandez | Genetic Counselor, MS | 2020 Zonal Ave # 410, Los Angeles, CA 90089-0121 | 2020-09-18 |
| 1114532769 | Jenna Stoltzfus | Genetic Counselor, MS | 725 Welch Rd # 5273, Palo Alto, CA 94304-1601 | 2020-09-10 |
| 1063026144 | Jacob Comeaux | Genetic Counselor, MS | 1450 Biggy St # 2517r, Los Angeles, CA 90033-1006 | 2020-09-04 |
| 1831700277 | Christina Kimiko Fujii | Genetic Counselor, MS | 5641 Delcliff Cir, Sacramento, CA 95822-2456 | 2020-08-10 |
| 1114535994 | Meghan Therese Blunt | Genetic Counselor, MS | 333 City Blvd W Ste 800, Orange, CA 92868-5901 | 2020-07-17 |
| 1639794076 | Joshua Ryan Barnhart | Genetic Counselor, MS | 133 La Casa Via Ste 140, Walnut Creek, CA 94598-3005 | 2020-06-11 |
| 1548883648 | Marian Joy Godinez Tsang | Genetic Counselor, MS | 4445 Thistle Dr, San Jose, CA 95136-2051 | 2020-05-22 |
| 1730702044 | Meghan Juliana Mckenna | Genetic Counselor, MS | 900 Blake Wilbur Dr Rm W3036, Palo Alto, CA 94304-2201 | 2020-05-20 |
| 1861014458 | Makenna Nicole Dubois | Genetic Counselor, MS | 9110 Blackbird Ave, Fountain Valley, CA 92708-6404 | 2020-05-18 |
| 1700426889 | Donna Lee Bernstein | Genetic Counselor, MS | 239 Reserve Ct, San Marcos, CA 92078-2054 | 2020-01-07 |
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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.