KENNEDY TOBIN
NPI 1871281691
Student in an Organized Health Care Education/Training Program in Everett, WA

Q: What is Kennedy Tobin's NPI number?

The NPI number for Kennedy Tobin is 1871281691. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Kennedy Tobin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kennedy Tobin was last updated on April 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 28, 2023PECOS Enrolled

1321 COLBY AVE STE B400, EVERETT, WA 98201(425) 297-5234 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kennedy Tobin NPPES

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

KENNEDY TOBIN (NPI 1871281691) is an individual student in an organized health care education/training program in Everett, Washington and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871281691

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKENNEDY TOBIN

Location Address1321 COLBY AVE STE B400Everett, WA 98201-1665

Mailing Address1321 Colby Ave Ste B400Everett, WA 98201-1665 · (425) 297-5234

Phone(425) 297-5234

Sole ProprietorYes

Enumeration DateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1871281691 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.

1321 COLBY AVE STE B400, Everett, WA 98201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Tobin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SEAN KEKAIANIANI TERADA

Student in an Organized Health Care Education/Training Program