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Deactivated NPI 1669827341 Deactivated / Inactive NPI Female Practitioner

Barbara Kennison

Registered Nurse • Ceres, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Barbara Kennison has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 29, 2016
NPI Deactivation Date April 19, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Barbara Kennison was a registered Registered Nurse practicing in Ceres, CA. Throughout an active medical career spanning 5 years, Barbara Kennison provided care at the practice location at 1904 RICHLAND AVE until profile deactivation on 2021-04-19.

Practice Location & Contact Primary Location

Practice Address

1904 Richland Ave
Bld A

Ceres, CA 953074562

Telephone 2093008809
Associated Practice Facility / Clinic
🏢 County Of Stanislaus Facility NPI 1457480014

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Ceres, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Ceres, CA (13888 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License CA 581004

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Julia Gardea

Technician

NPI 1003314048
Alyssa Wells , LMFT

Marriage & Family Therapist

NPI 1013441989

Licensed Marriage and Family Therapist

Ghazia Hassan

Counselor - Professional

NPI 1023530987
Constance Mcdonald

Counselor - Mental Health

NPI 1033534664
Roseann Reynoso , CADC-11

Counselor - Addiction (Substance Use Disorder)

NPI 1033675996

CADC11

Saquoira Chiles

Social Worker - Clinical

NPI 1033825310

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated April 19, 2021

Record deactivated on April 19, 2021

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2016

Registered at 1904 RICHLAND AVE, BLD A, CERES, CA 953074562 (Tel: 2093008809)

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Updated Business Mailing Address April 29, 2016

Registered at 1600 STANDIFORD AVE, APT 25, MODESTO, CA 953500515 (Tel: 2092166238)

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Provider Name / Credentials Updated April 29, 2016

Recorded as BARBARA KENNISON

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Registered Nurse (License #581004 in CA)

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Initial NPI Registration & Enumeration April 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669827341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2016
Last Update: April 29, 2016
Deactivation Date: April 19, 2021

Mailing Address

1600 Standiford Ave, Apt 25

Modesto, CA 953500515

Phone: 2092166238

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.