Megan Nicole Kenneson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

17782 W Amber Ridge Way
Goodyear, AZ 85338-1673

Phone

(385) 377-0138

NPI assigned

Nov 7, 2024

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

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1376366278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17782 W AMBER RIDGE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381673",
            "telephone_number": "385-377-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17782 W AMBER RIDGE WAY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381673",
            "telephone_number": "385-377-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNESON",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalan Ann Kelch, AG-ACNP
• Julianne Kemp
• Julia Anne Kemper, FNP-C
• Coby Kempton, R.N.
• Elizabeth Hope Kendall, LPC
• Ronald W Kennett, D.O.
• John Michael Kenny, M.D.
• Julie Marie Kent-Partridge
• Christine Keogh
• Adam P Kerievsky, ND, LAC

• Behavior Technician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Behavior Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.