JAKE REZENDES (NPI# 1588168595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588168595 |
| Entity Type | Individual |
| Full Name | JAKE REZENDES |
| Practice Address |
10 Hopkins Dr Bridgewater MA 02324-3454 |
| Practice Telephone | 6177808506 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10 HOPKINS DR |
| City | BRIDGEWATER |
| State | MA |
| Zip Code | 02324-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985176 | Heidi S Bonito | Counselor | 33 Indian Ridge, Bridgewater, MA 02324 | 2018-09-13 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1750832861 | Isandra Andrade | Behavior Technician | 30 Easy Street, Bridgewater, MA 02324 | 2016-10-24 |
| 1639570435 | Joanne Mccarthy | Counselor | 792 Plymouth Street, Bridgewater, MA 02324 | 2014-09-11 |
| 1932530011 | Michelle Courcy | Registered Nurse | 796 Pleasant Street, Bridgewater, MA 02324 | 2013-11-27 |
| 1750664942 | Richard Arthur Cannizzo Jr. | Pharmacist | 4 Central Square, Walgreens Pharmacy, Bridgewater, MA 02324 | 2011-09-23 |
| 1164714481 | Cslee, Dmd,mmsc,pllc | Dentist | 555 Bedford St, Unit 3, Bridgewater, MA 02324 | 2011-05-04 |
| 1790097228 | Amy B Mills | Pharmacist | 233 Broad Street, Bridgewater, MA 02324 | 2010-07-13 |
| 1720304157 | Kathleen Marie Weygand | Behavioral Analyst | 215 Boxwood Lane, Bridgewater, MA 02324 | 2010-04-09 |
| 1548585078 | Jhilam Biswas | Psychiatry & Neurology | 20 Admin Rd, Bridgewater, MA 02324 | 2010-03-27 |
| Find all providers in zip 02324 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594163 | Jaclyn F Clifford | Student in an Organized Health Care Education/Training Program | 465 Forest St, Bridgewater, MA 02324-2914 | 2020-09-29 |
| 1851911499 | Nhung K Nguyen | Student in an Organized Health Care Education/Training Program | 24 Beekman Rd, Bridgewater, NJ 08807-2625 | 2020-04-23 |
| 1902432834 | Max Ward | Student in an Organized Health Care Education/Training Program | 571 Glen Ridge Dr S, Bridgewater, NJ 08807-1675 | 2020-03-23 |
| 1174164586 | Meaghan Rose Kenney | Student in an Organized Health Care Education/Training Program | 270 Flagg St, Bridgewater, MA 02324-3302 | 2019-10-07 |
| 1669959623 | Dhaval Shah | Student in an Organized Health Care Education/Training Program | 6 Lawton Rd, Bridgewater, NJ 08807-2145 | 2018-07-23 |
| 1205330214 | Courtney Alyce Sutherland | Student in an Organized Health Care Education/Training Program | 6 Meadow Ln Apt 4, Bridgewater, MA 02324-1811 | 2018-03-23 |
| 1730683020 | Celeste Arkady Azevedo | Student in an Organized Health Care Education/Training Program | 10 Mcgovern Ct, Bridgewater, NJ 08807-2576 | 2018-03-21 |
| 1518476779 | Takaaki Kodani | Student in an Organized Health Care Education/Training Program | 131 Summer Street, Bridgewater, MA 02324 | 2017-09-20 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| 1477946036 | Vivek Subramanian Prakash | Student in an Organized Health Care Education/Training Program | 49 Reinhart Way, Bridgewater, NJ 08807-5709 | 2015-03-06 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 02324 |
Please comment or provide details below to improve the information on JAKE REZENDES.
| 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.