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KELLY KENNEDY-BAUZA
NPI 1174450191
Student in an Organized Health Care Education/Training Program in Dix Hills, NY

Active since May 05, 2026
43 ARISTA DR, DIX HILLS, NY 11746(631) 683-4393 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Kennedy-bauza NPPES

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

KELLY KENNEDY-BAUZA (NPI 1174450191) is an individual student in an organized health care education/training program in Dix Hills, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1174450191
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY KENNEDY-BAUZA
Location Address43 ARISTA DRDix Hills, NY 11746-4920
Mailing Address1985 Marcus Ave Ste 100New Hyde Park, NY 11042-2025
Phone(631) 683-4393
Sole ProprietorYes
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1174450191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
43 ARISTA DR, Dix Hills, NY 11746
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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.

ALEXIS HUEZO
Peer Specialist
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
DASHUAN HARROD
Student in an Organized Health Care Education/Training Program
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
EMMANUEL CEDILLO
Social Worker
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
ROBERT MCKEON
Student in an Organized Health Care Education/Training Program
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
JEANNINE MICKULAS
Behavior Technician
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
JOSHUA GALARDI
Peer Specialist
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
NAKUISHA VANIER
Counselor
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393
OSCAR NDIKA JR.
Counselor
43 ARISTA DR
DIX HILLS, NY 11746
Suffolk County (631) 683-4393

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 Kelly Kennedy-bauza's NPI number?

The NPI number for Kelly Kennedy-bauza is 1174450191. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Kelly Kennedy-bauza located?

Kelly Kennedy-bauza practices at 43 Arista Dr, Dix Hills, NY 11746. The listed phone number is (631) 683-4393.

What is Kelly Kennedy-bauza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Kennedy-bauza was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.