MICHELLE L KENNEDY (NPI# 1982062857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982062857 |
Entity Type | Individual |
Full Name | MICHELLE L KENNEDY |
Credential | NP |
Practice Address |
6140 W Curtisian Ave Ste 200 Boise ID 83704 |
Mailing Address |
3340 E Goldstone Way Meridian ID 83642 |
Practice Telephone | 2083020000 |
Practice Fax Number | 2083020055 |
Mailing Telephone | 2083020000 |
Mailing Fax Number | 2083020055 |
Enumeration Date | 2016-02-05 |
Last Update Date | 2018-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 57400 | ID | Physician Assistants & Advanced Practice Nursing Providers |
N | 363L00000X | Nurse Practitioner | A004645 | AR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | STATE LICENSE | A004645 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578040754 | Michelle B Kennedy | Peer Specialist | 200 Se Hailey Ave Ste 204, Pendleton, OR 97801-3072 | 2018-07-20 |
1508303066 | Michelle Kennedy | Registered Nurse | 4501 Parkwood Dr, Kokomo, IN 46901-6430 | 2017-01-23 |
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 |
1891836110 | Michelle Lynn Kennedy | Nurse Practitioner | 51 N Elm St, Waterbury, CT 06702-1511 | 2007-02-09 |
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 |
1114367513 | Michelle Ann Kennedy | Occupational Therapy Assistant | 1020 N Union St, Middletown, PA 17057-2158 | 2013-06-28 |
Street Address |
6140 W CURTISIAN AVE STE 200 |
City | BOISE |
State | ID |
Zip Code | 83704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447244819 | Eric B Stuart | Internal Medicine | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2005-08-31 |
1083185235 | Cheryl Fish | Registered Nurse | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2018-12-16 |
1992206742 | Kellie Watson | Nurse Practitioner | 6140 W Curtisian Ave, Boise, ID 83704-8880 | 2018-02-27 |
1508308396 | Samantha J Benfield | Nurse Practitioner | 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 | 2016-11-09 |
1194278754 | Amber Michele Kirtley-perez | Physician Assistant | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2016-08-01 |
1982071940 | John Pilcher | Nurse Practitioner | 6140 W Curtisian Ave, Ste 100, Boise, ID 83704-8880 | 2015-08-25 |
1588063168 | Richard Lochhead Md Pllc | Neurological Surgery | 6140 W Curtisian Ave, Ste 400, Boise, ID 83704-8880 | 2014-08-19 |
1639578628 | Erin Michaelis | Nurse Practitioner | 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | 2014-08-15 |
1568891638 | Dominick Valentine | Physician Assistant | 6140 W Curtisian Ave, Suite 102, Boise, ID 83704-8880 | 2013-11-08 |
1093155525 | Erin Cole Melton | Nurse Practitioner | 6140 W Curtisian Ave, Ste 300, Boise, ID 83704 | 2013-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
1033638150 | Michael P Lorentzen | Nurse Practitioner | 190 E Bannock St Fl 9, Boise, ID 83712-6241 | 2017-09-11 |
1063786648 | Tennessee Phs PC | Nurse Practitioner | 950 W. Bannock Street, Suite 1100, Boise, ID 83702-6140 | 2012-02-29 |
1194093344 | Ella Mae Gordon | Nurse Practitioner | 450 West State Street, 4th Floor, Boise, ID 83720-0036 | 2011-12-02 |
1174839666 | Meghann R Bostrom | Nurse Practitioner | 13099 W Paint Dr, Boise, ID 83713-1927 | 2010-08-23 |
1255653796 | Natalia Khochay | Nurse Practitioner | 1075 N. Curtis Rd., Suite 200, Boise, ID 83706-1300 | 2010-02-25 |
1164670378 | Janet Mcreynolds Pelton | Nurse Practitioner | 2074 Roanoke Dr, Boise, ID 83712-7529 | 2008-08-29 |
1619155249 | Loreen Anne Nugent | Nurse Practitioner | 3611 Tamarack Dr, Boise, ID 83703-4551 | 2008-02-06 |
1891904132 | Mario P Martinez | Nurse Practitioner | 1075 S Curtis Rd, Suite 200, Boise, ID 83706-1350 | 2007-05-22 |
Find all providers in BOISE |
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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.