Paula Nadine Kenner, CERTIFIED HAIR LOSS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

CO268897 Issued in PA

Practice address

1316 Englewood St
Philadelphia, PA 19111-4223

Phone

(215) 800-5538

NPI assigned

Apr 5, 2014

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

Other names 1

• Ms. Paula Nadine Washington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396656000000",
    "number": "1831517952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 ENGLEWOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114223",
            "telephone_number": "215-800-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ENGLEWOOD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114223",
            "telephone_number": "215-800-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "PAULA",
        "middle_name": "NADINE",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2014-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "PA",
            "license": "CO268897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "WASHINGTON",
            "middle_name": "NADINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Kennedy, MD
• Uchenna Katharina Kennedy, M.D.
• Regina Bridget Kennelly, MD
• Donna Marie Kenner- Whitaker, FNP
• Melisa Rosita Kenner, CRNP, PMHNP
• Kenneth E Wasserman MD PC
• Kenneth J Soapes, D.M.D & Associate
• Kenneth L. Kershbaum MD, Facc ,LLC
• Amy Raffety Kennett, RD
• Courtney Kenney, LCSW

• Prosthetics Case Management in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Prosthetics Case Management in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; 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.