MS. MARY M KENNEDY R.N. N.P. C.N.M. NPI 1083608780

NPI Information

NPI: 1083608780
Provider Name: MS. MARY M KENNEDY, R.N., N.P., C.N.M.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
7601 STONERIDGE DR
THE PERMANENTE MEDICAL GROUP
PLEASANTON, CA
ZIP 94588
Phone: (925) 847-5629
Get Directions

MS. Mary M Kennedy, R.N., N.P., C.N.M. is a women's health nurse practitioner in Pleasanton, CA. MS. Mary M Kennedy, R.N., N.P., C.N.M. NPI is 1083608780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7601 STONERIDGE DR
THE PERMANENTE MEDICAL GROUP
PLEASANTON, CA
ZIP 94588-501
Phone: (925) 847-5629
Fax: (925) 847-5148

The enumeration date for this NPI number is 9/8/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	177602	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P16645	MEDICARE UPIN	CALIFORNIA
2	177602	OTHER	CALIFORNIA	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »