JOHN A KENNEDY (NPI# 1962407312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962407312 |
| Entity Type | Individual |
| Full Name | JOHN A KENNEDY |
| Credential | MD |
| Practice Address |
1624 S I St Ste 303 Tacoma WA 98405-5093 |
| Mailing Address |
Po Box 97115 Lakewood WA 98497-0115 |
| Practice Telephone | 2532721231 |
| Mailing Telephone | 2535887911 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MD00008728 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8161101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
1624 S I ST STE 303 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-5093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205330503 | Flora Lea Galloway | Registered Nurse | 1624 S I St, Tacoma, WA 98405 | 2018-03-21 |
| 1417329970 | Nicole Treanor | Dietitian, Registered | 1624 S I St, Suite 206, Tacoma, WA 98405-5016 | 2015-10-23 |
| 1326456070 | Northwest Medical Specialties, Pllc | Internal Medicine | 1624 S I St, Suite 305, Tacoma, WA 98405-5016 | 2014-07-25 |
| 1063765741 | Margaret Ann Walker | Physician Assistant | 1624 S I St, Suite 305, Tacoma, WA 98405-5016 | 2012-10-18 |
| 1356625388 | Julie M Peerboom | Nurse Practitioner | 1624 S I St, Ste 402, Tacoma, WA 98405-5016 | 2011-10-10 |
| 1285918011 | Hannah Nagle Mccabe | Registered Nurse | 1624 S I St, Ste 204, Tacoma, WA 98405-5016 | 2011-09-28 |
| 1205116613 | Catherine Sanders Maskell | Nurse Practitioner | 1624 S I St, Suite 102, Tacoma, WA 98405-5016 | 2011-08-17 |
| 1477858330 | Leah M Spoonemore | Dietitian, Registered | 1624 S I St, Tacoma, WA 98405-5016 | 2011-01-24 |
| 1841593183 | Neville Lewis Md., P.s | Specialist | 1624 S I St, Ste # 301, Tacoma, WA 98405-5016 | 2010-12-08 |
| 1902137763 | Franciscan Medical Group | Urology | 1624 S I St, Ste 204, Tacoma, WA 98405-5016 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| 1174838676 | Shanza Mujeeb | Internal Medicine | 1708 Yakima Ave Ste 107, Tacoma, WA 98405-5300 | 2010-08-10 |
| 1124065321 | Thomas J Martin | Internal Medicine | 1708 S Yakima Ave, Suite 107, Tacoma, WA 98405 | 2006-05-31 |
| 1134377070 | Franciscan Medical Group | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2008-09-04 |
| 1043472806 | Dustin Little | Internal Medicine | Madigan Army Medical Ctr, Bldg 9040, Fitzsimmons Drive, Tacoma, WA 98431-0001 | 2008-07-01 |
| 1184821225 | Ho Won Lee | Internal Medicine | 1901 S Union Ave, Suite B-7011, Tacoma, WA 98405-1702 | 2007-07-02 |
| 1467505933 | Neil R Hannigan M D P S Inc | Internal Medicine | 1708 Yakima Ave, Suite 107, Tacoma, WA 98405-5307 | 2007-01-19 |
| 1215084025 | Melissa Yeh Kaptik | Internal Medicine | 1708 Yakima Ave, #107, Tacoma, WA 98405-5307 | 2007-01-04 |
| 1508926056 | Howard M. Cushner | Internal Medicine | Madigan Army Medical Ctr, 9040 Reid St Attn Mchj Qcr, Tacoma, WA 98431-1100 | 2006-12-12 |
| 1730106568 | Pacific Nephrology Associates, P.s. | Internal Medicine | 1901 S Union Ave, Suite B7011, Tacoma, WA 98405-1702 | 2006-07-17 |
| Find all providers in TACOMA | ||||
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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.