JENNIFER MEDINA (NPI# 1245871474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245871474 |
| Entity Type | Individual |
| Full Name | JENNIFER MEDINA |
| Practice Address |
126 Audubon Ave Braintree MA 02184-2352 |
| Practice Telephone | 6179133321 |
| Practice Fax Number | 7818176135 |
| Mailing Telephone | 6179133321 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | DH88211 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861668634 | Jennifer Boyajian Medina | Dentist | 235 Peruvian Ave, Palm Beach, FL 33480-4695 | 2008-05-01 |
| 1326647124 | Jennifer Medina | Behavior Technician | 333 University Ave Ste 200, Sacramento, CA 95825-6540 | 2020-10-22 |
| 1902422801 | Jennifer Medina | Student in an Organized Health Care Education/Training Program | 3333 Regis Blvd, Denver, CO 80221-8926 | 2020-06-17 |
| 1609326925 | Jennifer Joanne Medina | Licensed Practical Nurse | 502 Court St, Suite 210, Utica, NY 13502-4236 | 2016-10-11 |
| 1821454745 | Jennifer Marie Medina | Social Worker | 4945 Williams Dr, Georgetown, TX 78633-2008 | 2016-01-07 |
| 1659745164 | Jennifer Lea Medina | Nurse Practitioner | 115 E Riverwalk, Unit 200, Pueblo, CO 81003-3308 | 2015-11-20 |
| 1356685689 | Jennifer Medina | Social Worker | 12440 Firestone Blvd, Suite 1000, Norwalk, CA 90650-4328 | 2012-11-27 |
| 1144513821 | Jennifer Elaine Medina | Clinical Neuropsychologist | 3333 S Bannock St, Ste 435, Englewood, CO 80110-2432 | 2011-05-27 |
| 1760791537 | Jennifer Lynn Medina | Counselor | 1225 Crane St, Ste 205, Menlo Park, CA 94025-4257 | 2010-09-28 |
| Street Address |
126 AUDUBON AVE |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952658056 | Mass Kidz Healthy Smiles LLC | Exclusive Provider Organization | 126 Audubon Ave, Braintree, MA 02184-2352 | 2012-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518493261 | Marina Zelfond | Dental Hygienist | 416 John Mahar Hwy, Suite 3302, Braintree, MA 02184-6552 | 2017-05-02 |
| 1235663634 | Lily Spiegel | Dental Hygienist | 416 John Mahar Hwy Unit 3302, Braintree, MA 02184-6561 | 2017-04-12 |
| 1518218064 | Christine Marie Fontana | Dental Hygienist | 77 Arthur St, Braintree, MA 02184-3700 | 2012-09-24 |
| 1477867703 | Kathleen Mary Luisi | Dental Hygienist | 126 Audubon Avenue, Braintree, MA 02184 | 2010-07-28 |
| 1518086362 | Kerry Romig | Dental Hygienist | 501 Commerce Dr, Suite 3309, Braintree, MA 02184-7151 | 2007-03-29 |
| 1801322565 | Lm Dental LLC | Dental Hygienist | 416 John Mahar Hwy, Unit 3302, Braintree, MA 02184-6552 | 2017-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340620 | Sara Jambard | Dental Hygienist | 5 Halon Ter, East Longmeadow, MA 01028-3207 | 2020-06-10 |
| 1649810698 | Rinchen Youtso | Dental Hygienist | 4199 Washington St Ste 1, Roslindale, MA 02131-1733 | 2020-01-07 |
| 1124672779 | Polished Dntl LLC | Dental Hygienist | 76 Agnes Ln, Chatham, MA 02633-1502 | 2019-07-31 |
| 1801455720 | Neil David Moreau | Dental Hygienist | 230 Maple St Ste 4, Holyoke, MA 01040-5143 | 2019-06-13 |
| 1124592498 | Jamie Murphy | Dental Hygienist | 52 Lakecrest Path, Weymouth, MA 02189-1419 | 2019-01-18 |
| 1407332190 | Melissa Goulet | Dental Hygienist | 55 Federal St Ste 240, Greenfield, MA 01301-2573 | 2018-07-16 |
| 1407346349 | Kathryn Dolan | Dental Hygienist | 59 Wren St, Boston, MA 02132-2626 | 2018-05-16 |
| 1194221150 | Smiles Big and Small, Inc | Dental Hygienist | 28 Sandersdale Rd, Southbridge, MA 01550-2800 | 2018-03-30 |
| 1275044919 | Anna Ussi | Dental Hygienist | 15a Reed St, West Boylston, MA 01583-1139 | 2017-10-20 |
| 1346751799 | Judith Tanzella | Dental Hygienist | 7 Sohier Rd, Beverly, MA 01915-3415 | 2017-10-12 |
| Find all providers with the same taxonomy | ||||
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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.