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

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: August 09, 2026.

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
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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.

RAMINENI R. RAO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5000
MS. JOAN G VENTURI NP
Nurse Practitioner (Adult Health)
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5612
DONNA M. THOMPSON MD
Pediatrics
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5000
DR. LEYLA GAHRAHMAT M.D.
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5050
SHARON CHAN
Pharmacist
7601 STONERIDGE DR, SOUTH 1 PHARMACY 1ST FLOOR
PLEASANTON, CA 94588
Alameda County (925) 847-5568
BURANEE JUNGPRADITPHOL BOCKMAN MD
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5248
MEGHANA R KASETTY MD
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (906) 399-3916
MS. LAURA ANNE BALASSONE R.N.P.
Nurse Practitioner (Adult Health)
7601 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 847-5714

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kennedy's NPI number?

The NPI number for Mary Kennedy is 1083608780. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Mary Kennedy located?

Mary Kennedy practices at 7601 Stoneridge Dr The Permanente Medical Group, Pleasanton, CA 94588. The listed phone number is (925) 847-5629.

What is Mary Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Mary Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.