| Amanda Marie Kennedy, APRN | |
|
2708 S Rife Medical Ln Ste 140, Rogers, AR 72758-1455 | |
| (479) 338-3720 | |
| (479) 338-3749 |
| Full Name | Amanda Marie Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 2708 S Rife Medical Ln Ste 140, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336779305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2020040255 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 123431 (Arkansas) | Primary |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marie Kennedy, APRN 2708 S Rife Medical Ln Ste 140, Rogers, AR 72758-1455 Ph: (479) 338-3720 | Amanda Marie Kennedy, APRN 2708 S Rife Medical Ln Ste 140, Rogers, AR 72758-1455 Ph: (479) 338-3720 |
Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555 | |
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235 | |
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989 | |
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 |