JENNA ELIZABETH BEDNARSKI (NPI# 1578056842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578056842 |
| Entity Type | Individual |
| Full Name | JENNA ELIZABETH BEDNARSKI |
| Practice Address |
3741 Rome Dr Ste B Lafayette IN 47905-4490 |
| Practice Telephone | 7656076160 |
| Practice Fax Number | 7656076161 |
| Mailing Telephone | 7656076160 |
| Mailing Fax Number | 7656076161 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
28228337A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RN LICENSE | 28228337A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 419 E Lincoln Rd, Kokomo, IN 469023716 | 7658642400 | 7658642401 |
| Street Address |
3741 ROME DR STE B |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033505912 | Erin Gena Monachello | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2015-04-08 |
| 1710319009 | Megan Elizabeth Chapman | Nurse Practitioner | 1716 Hartford Stree, Lafayette, IN 47904-2138 | 2013-08-08 |
| 1932358660 | Claire F. Bailey | Nurse Practitioner | 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508-6984 | 2008-09-18 |
| 1417995242 | Elizabeth A Jones | Nurse Practitioner | 3741 Rome Dr, Ste. B, Lafayette, IN 47905-4490 | 2006-06-03 |
| 1407807134 | Melissa Hope Nice | Nurse Practitioner | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2006-05-15 |
| 1962058743 | Rita M Becker | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2019-08-16 |
| 1013486588 | Rebekah Hurst | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2018-11-14 |
| 1295218071 | Hannah Henderson | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2018-09-08 |
| 1568972446 | Heather F. Champagne | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2017-10-05 |
| 1487188256 | Alicia Faulk Nicklas | Nurse Practitioner | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2017-04-18 |
| Find all providers in LAFAYETTE | ||||
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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.