1. Home
  2. Directory
  3. Oklahoma
  4. Shawnee
  5. Peer Specialist
  6. NPI Profile

KENNEDY ROSE
NPI 1770936270
Peer Specialist in Shawnee, OK

Active since July 20, 2016
1010 E 45TH ST, SHAWNEE, OK 74804(405) 273-1170(405) 275-5132 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennedy Rose NPPES

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

KENNEDY ROSE (NPI 1770936270) is an individual peer specialist in Shawnee, Oklahoma and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1770936270
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKENNEDY ROSE
Location Address1010 E 45TH STShawnee, OK 74804-2202
Mailing Address7 Hickory DrShawnee, OK 74804-9433 · (405) 273-1170 · Fax (405) 275-5132
Phone(405) 273-1170
Fax(405) 275-5132
Sole ProprietorYes
Enumeration DateJuly 20, 2016
✔ NPI 1770936270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1010 E 45TH ST, Shawnee, OK 74804
Open in Google Maps ↗

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.

BROOKE THOMAS LADC
Counselor
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
ZANE LUTHER WINTERS
Case Manager/Care Coordinator
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
THOMAS RIGGIN FLEMING
Peer Specialist
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
LOU CLARK
Counselor (Addiction (Substance Use Disorder))
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
AMY DAWN DUNN MPH
Counselor (Addiction (Substance Use Disorder))
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
MR. TAI KEAWPHALOUK
Case Manager/Care Coordinator
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-7493
MRS. AMANDA NICOLE WILSON
Case Manager/Care Coordinator
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170
REBECCA LONG
Case Manager/Care Coordinator
1010 E 45TH ST
SHAWNEE, OK 74804
Pottawatomie County (405) 273-1170

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 Kennedy Rose's NPI number?

The NPI number for Kennedy Rose is 1770936270. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Kennedy Rose located?

Kennedy Rose practices at 1010 E 45th St, Shawnee, OK 74804. The listed phone number is (405) 273-1170.

What is Kennedy Rose's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Rose was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.