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).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Belview St, Seekonk, MA 027715414 | 5083366136 | |
| 208 Mill Rd, Fairhaven, MA 027195208 | 5089732432 | 5089732435 |
| Street Address |
164 SUMMIT AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-2853 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on MS. JENNIFER LYNN BENTO.
| 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.