MS. MARY M KENNEDY R.N., N.P., C.N.M.
NPI 1083608780
Nurse Practitioner - Women's Health in Pleasanton, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.

Active since September 08, 2005

7601 STONERIDGE DR, THE PERMANENTE MEDICAL GROUP, PLEASANTON, CA 94588(925) 847-5629(925) 847-5148 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Ms. Mary M Kennedy R.n., N.p., C.n.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY M KENNEDY R.N., N.P., C.N.M. (NPI 1083608780) is an individual women's health provider in Pleasanton, California, licensed in California (177602) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1083608780

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMS. MARY M KENNEDYCredential: R.N., N.P., C.N.M.

Location Address7601 STONERIDGE DR, THE PERMANENTE MEDICAL GROUPPleasanton, CA 94588-4501

Mailing Address7601 Stoneridge Dr, The Permanente Medical GroupPleasanton, CA 94588-4501 · (925) 847-5629 · Fax (925) 847-5148

Phone(925) 847-5629

Fax(925) 847-5148

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083608780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 177602

7601 STONERIDGE DR, Pleasanton, CA 94588

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINP16645CA

Other177602CA · Rn License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOAN G VENTURI NP

Nurse Practitioner (Adult Health)