Active NPI
Marlena Kennedy, ND
- Naturopath
- Grand Forks, ND
National Provider Identifier
1831673474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 2022-01
- Practice address
- 2860 19TH Ave S
Grand Forks, ND 58201-5957 - Phone
- (701) 314-9904
- NPI assigned
- Sep 19, 2018
- Last updated
- Nov 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 4187 | OR | |
| Naturopath | 175F00000X | 2022-01 | ND | Primary |
Addresses
Primary practice location
2860 19TH Ave S
Grand Forks, ND 58201-5957
Mailing address
2860 19TH Ave S
Grand Forks, ND 58201-5957
Phone (701) 314-9904
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fax |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-01 | ND | MD | Naturopath |
| 4187 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Natural Medicine PLLC | Naturopath | Current | Accepting new patients |
| Marlena Kurtz LLC | Naturopath | Current | Accepting new patients |
Locations
2860 19th Ave S
Grand Forks, ND 58201
Phone (218) 643-9330
130 NW Miller Ave
Gresham, OR 97030
Phone (503) 655-2344
500 NW 20th St
Ste 101
Gresham, OR 97030
Phone (503) 665-2344
Organizations & group practices 2
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.
-
- Naturopath
- Grand Forks, ND
- NPI 1447960950
-
- Naturopath
- Gresham, OR
- NPI 1700432879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1831673474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 19TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015957",
"telephone_number": "701-314-9904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 19TH AVE S",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582015957",
"telephone_number": "701-314-9904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "MARLENA",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-19",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": "4187",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "ND",
"license": "2022-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fax",
"affiliation": "N",
"address_1": "2860 19th Ave S",
"city": "Grand Forks",
"state": "ND",
"country_code": "US",
"postal_code": "582015957",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.