| Irina Kim Kennedy, NP | |
|
1 Medical Center Blvd, Cookeville, TN 38501-4294 | |
| (609) 585-1122 | |
| (609) 585-0309 |
| Full Name | Irina Kim Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1 Medical Center Blvd, Cookeville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598496937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 39104 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 1071074 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cookeville Regional Medical Center | Cookeville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Putnam Emergency Physicians Pllc | 3779946488 | 34 |
| Campbell Clinic, Pc | 9638082076 | 229 |
| Entity Name | Campbell Clinic, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003835141 PECOS PAC ID: 9638082076 Enrollment ID: O20040615000216 |
| Entity Name | First Docs PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417655465 PECOS PAC ID: 0547626871 Enrollment ID: O20230511002435 |
| Entity Name | Putnam Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891475752 PECOS PAC ID: 3779946488 Enrollment ID: O20230829001399 |
| Mailing Address | Practice Location Address |
|---|---|
| Irina Kim Kennedy, NP Po Box 7411009, Chicago, IL 60674-3009 Ph: (609) 585-1122 | Irina Kim Kennedy, NP 1 Medical Center Blvd, Cookeville, TN 38501-4294 Ph: (609) 585-1122 |
Amy Jo Emerick, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 N Whitney Ave, Cookeville, TN 38501 Phone: 931-559-7421 Fax: 931-233-5565 |
Cathleen Delane Stewart, NURSE PRACTIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 758 S Willow Ave., Cookeville, TN 38501 Phone: 931-526-6173 Fax: 931-526-5084 |
Laura June Young, FAMILY PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Neal St, Cookeville, TN 38501 Phone: 931-528-8593 |
Sarah Brady, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 3rd St, Cookeville, TN 38501 Phone: 931-528-9047 |
Mrs. Karen Candace Norrod, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S Willow Ave, Cookeville, TN 38506 Phone: 931-349-4603 |
Mr. Stephen Matthew Sarr, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501 Phone: 931-528-2541 |
Joseph C Archer, ANP C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 S Willow Ave, Cookeville, TN 38501 Phone: 931-526-9518 Fax: 931-372-0087 |