MS. JENNIFER HALL (NPI# 1093057580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093057580 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER HALL |
| Credential | RN |
| Practice Address |
55 Lake Ave N Umass Memorial Medical Center, Psychiatry Worcester MA 01655-0002 |
| Practice Telephone | 5083343562 |
| Practice Fax Number | 5084211000 |
| Mailing Telephone | 5083343562 |
| Mailing Fax Number | 5084211000 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
276298 | MA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | LICENSE | 276298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203222 | Jennifer Marie Hall | Home Health Aide | 148 Elm St, Struthers, OH 44471-1803 | 2020-07-30 |
| 1750920625 | Jennifer Hall | Massage Therapist | 4916 Morris Cir, Douglasville, GA 30135-4136 | 2019-12-24 |
| 1962052902 | Jennifer A Hall | Home Health Aide | 4480 State Route 43 Apt 8, Kent, OH 44240-6971 | 2019-09-11 |
| 1336665124 | Jennifer Renee Hall | Physical Therapist | 8999 Independence Way, Alamosa, CO 81101-9418 | 2017-08-14 |
| 1235663816 | Jennifer Hall | Occupational Therapist | 2651 Perkins Creek Dr Apt 614, Paducah, KY 42001-7522 | 2017-04-20 |
| 1861859662 | Jennifer Leigh Hall | Social Worker | 227 Park St, Farmingdale, ME 04344-1527 | 2016-01-25 |
| 1720476401 | Jennifer Hall | Social Worker | 303 Lafayette St, Louisville, CO 80027-1637 | 2015-01-02 |
| 1972901114 | Jennifer Hall | Occupational Therapy Assistant | 186 N Moodus Rd, Moodus, CT 06469-1149 | 2014-12-19 |
| 1811303480 | Jennifer Lee Hall | Podiatrist | 5950 University Ave Ste 160, West Des Moines, IA 50266 | 2014-07-03 |
| 1073925483 | Jennifer Hall | Occupational Therapist | 4616 S Columbia Ave, Tulsa, OK 74105-5130 | 2014-05-20 |
| Street Address |
55 LAKE AVE N UMASS MEMORIAL MEDICAL CENTER, PSYCHIATRY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134755028 | Ademola Solomon Obele | Registered Nurse | 11 Paper Birch Path, Worcester, MA 01605-3372 | 2020-03-23 |
| 1104225341 | Grace Mbuya | Registered Nurse | 997 Millbury St, Worcester, MA 01607-2105 | 2014-08-13 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1255445532 | Paula L Diperri | Registered Nurse | 45 Jacques Ave, Worcester, MA 01610-0000 | 2006-08-17 |
| 1073166112 | Justin Eusebio | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2019-07-18 |
| 1639677917 | Jamaal C Hedrington | Registered Nurse | 1183 Main St, Worcester, MA 01603-2012 | 2018-02-01 |
| 1477909836 | Stephen Bunting | Registered Nurse | 72 Jacques Ave, Worcester, MA 01610 | 2016-05-04 |
| 1598123432 | Robert C Metzger | Registered Nurse | 411 Chandler St, Worcester, MA 01602-3339 | 2016-02-07 |
| 1184016537 | Michael Kenneth Culver | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2015-02-23 |
| 1972930550 | Sharyn Dilauro | Registered Nurse | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-09-27 |
| Find all providers in WORCESTER | ||||
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| 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.