MS. JENNIFER LYNN BENTO


Address: 164 Summit Ave, Providence, RI 02906-2853
Phone: 4017932500

MS. JENNIFER LYNN BENTO (NPI# 1083154710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083154710
Entity Type Individual
Full Name MS. JENNIFER LYNN BENTO
Credential NP-C
Practice Address 164 Summit Ave
Providence
RI 02906-2853
Mailing Address Po Box 9484
Providence
RI 02940-9484
Practice Telephone 4017932500
Mailing Telephone 4018542500
Enumeration Date 2017-02-28
Last Update Date 2020-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN01751 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
RN278755 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
15 Belview St, Seekonk, MA 027715414 5083366136
208 Mill Rd, Fairhaven, MA 027195208 5089732432 5089732435

Office Location

Street Address 164 SUMMIT AVE
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558369512 Josephine Salhab Physician Assistant 164 Summit Ave, Rm C70, Providence, RI 02906-2853 2005-07-13
1619519865 Sarah Mcnerney Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2019-10-09
1831743095 Tracy Lynn Carraggi Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2019-07-26
1689233975 Nicole Parascandolo Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2894 2019-06-10
1164992558 Lisha Andrew Dietitian, Registered 164 Summit Ave, Providence, RI 02906-2894 2018-11-28
1689156242 Monique Coley Physician Assistant 164 Summit Ave, Providence, RI 02906-2894 2018-08-30
1235615006 Sameh Mohamed Internal Medicine 164 Summit Ave, Providence, RI 02906-2894 2018-07-16
1578058087 Noor N Safadi Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2018-06-27
1356847172 Heidi Jimenez Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-04-02
1831694439 Laura Canavan Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154933984 Sarah Jane France Nurse Practitioner 1 Randall Sq Ste 409, Providence, RI 02904-7405 2020-08-22
1225664386 Monica A Harris Nurse Practitioner 1078 S 800 E, Providence, UT 84332-2400 2020-03-20
1669008728 Sean Andrew Rebello Nurse Practitioner 180 Corliss St Ste E, Providence, RI 02904-2602 2020-03-19
1902456270 Nelsy Robles Colon Nurse Practitioner 1 Randall Sq Ste 205, Providence, RI 02904-2773 2019-09-18
1518511021 Effiem Obasi Nurse Practitioner 143 Longwood Ave, Providence, RI 02908-1121 2019-08-01
1861056608 Temperance Taylor Nurse Practitioner 222 Dora St Apt 1, Providence, RI 02909-3824 2019-04-26
1790240141 Miriannys Rivas Nurse Practitioner 170 Rhodes St, Providence, RI 02903-4919 2019-02-08
1962970947 Wesley Irish Nurse Practitioner 21 Pekin St, Providence, RI 02908-3716 2018-11-07
1902317449 Ashley Lynn Wright Nurse Practitioner 120 Dudley St Ste 104, Providence, RI 02905-2431 2017-10-23
1699216226 Julie L'europa Nurse Practitioner 1085 North Main Street, Providence, RI 02904-7426 2017-03-15
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Competitor

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City PROVIDENCE
Zip Code 02906

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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