Stacia Kenet, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G070541 Issued in CA

Practice address

10 Thomas Dr
Mill Valley, CA 94941

Phone

(415) 380-8448

Fax

(415) 380-8673

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pediatricalternatives.staciakenet@148194.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  NPD (past)
• Pediatric Alternatives

  • Pediatrics Physician
  • Mill Valley, CA
  • NPI 1669732772
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1194898155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 THOMAS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-380-8448",
            "fax_number": "415-380-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 THOMAS DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-380-8448",
            "fax_number": "415-380-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENET",
        "first_name": "STACIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G070541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lee Katz, D.C.
• Amy Kaufman, D.M.H.
• Susan Kawamoto, PT
• Evelyn B Keeler, MFT MU22999
• Laura Kelley
• Elizabeth Norah Kennard
• Morgan Rebecca Kennedy, PH.D.
• Uta Barbara Kerl, M.D.
• Nivedita Keshav, MD
• Jennifer Kichinko

• Pediatrics Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.