MICHELLE L KENNEDY


Address: 6140 W Curtisian Ave, Ste 200, Boise, ID 83704
Phone: 2083020000

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AR STATE LICENSE A004645 01

Other Providers MICHELLE KENNEDY

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

Office Location

Street Address 6140 W CURTISIAN AVE
STE 200
City BOISE
State ID
Zip Code 83704

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City BOISE
Zip Code 83704

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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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