Barbara Jean Kennison, PH.D

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704091608 Issued in MI

Practice address

697 Hannah Ave
Traverse City, MI 49686-3399

Phone

(231) 947-5103

Fax

(231) 929-1038

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1407976079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 HANNAH AVE",
            "address_2": "P.O. BOX 6416",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863399",
            "telephone_number": "231-947-5103",
            "fax_number": "231-929-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 HANNAH AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863399",
            "telephone_number": "231-947-5103",
            "fax_number": "231-929-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNISON",
        "first_name": "BARBARA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704091608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M Kennard, PHARM.D.
• Dina M Kennedy, PHARMD, BCPS
• Kristen Kennedy, NP
• Robert Douglas Olcott Kennedy, M.D.
• Todd William Kennell, MD
• Laryn C Kenwabikise, PA-C
• Jaimie Marie Kern, MPT
• James Kern
• Tate Kern, D.O.
• William Thomas Kern, MD

• Psychiatric/Mental Health Registered Nurse in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.