JENNIFER DAWN BANKSTON (NPI# 1922246511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922246511 |
| Entity Type | Individual |
| Full Name | JENNIFER DAWN BANKSTON |
| Credential | WHNP |
| Practice Address |
90 Vandenberg Dr Hanscom Afb MA 01731-2104 |
| Practice Telephone | (781) 225-6171 |
| Practice Fax Number | 7812252576 |
| Mailing Telephone | (781) 225-6171 |
| Mailing Fax Number | 7812252576 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP9339151 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R858397 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891243739 | Jennifer Anne Bankston | Case Manager/Care Coordinator | 25966 S Cactus Rd, Claremore, OK 74019-2371 | 2016-09-20 |
| Street Address |
90 VANDENBERG DR |
| City | HANSCOM AFB |
| State | MA |
| Zip Code | 01731-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719476 | George Charles Hludzik | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2005-09-01 |
| 1598005225 | John David Gerhauser | Dentist | 90 Vandenberg Dr, Bldg 1900, 66 Mds, Hanscom Afb, MA 01731 | 2013-02-16 |
| 1376816462 | Ryan R Gustafson | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2012-02-20 |
| 1831486554 | James Michael Medeiros | General Practice | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2011-07-01 |
| 1629386172 | Manisa Bulsara | Pharmacist | 90 Vandenberg Dr, 66 Mds, Hanscom Afb, MA 01731-2104 | 2010-09-17 |
| 1538476312 | Timothy Joseph Pappalardo | Social Worker | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-09-01 |
| 1770898751 | Bryan Russell Katz | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-08-13 |
| 1124348008 | Brayden Tyler Bennett | Pharmacist | 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 | 2010-06-02 |
| 1033432034 | Matthew Robert Nicoli | Social Worker | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-03-04 |
| 1154653749 | Sang Ngo | Pharmacist | 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 | 2010-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114171 | Aletha Juah Thomas | Nurse's Aide | 1 Freedom Cir, Hanscom Afb, MA 01731 | 2018-12-05 |
| 1730609793 | Christopher M. Congemi | Dentist | 66mds (afmc), 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA 01731 | 2017-06-21 |
| 1184011322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Elgin St, Bldg 1709 B, Hanscom Afb, MA 01731 | 2015-04-24 |
| 1578822912 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Hanscom Afb, Building 1709, Bedford, MA 01731 | 2012-05-04 |
| 1215099858 | Paul R. Rivest | Psychologist | 66th Mdg Sgoh, Hanscom Afb, MA 01731 | 2006-12-13 |
| 1497837843 | Mara Salis | Social Worker | 2 Eglin St, Hanscom Afb, MA 01731 | 2006-10-19 |
| 1790749398 | Lakshmi Kona | Internal Medicine | 1609 Eglin Street, Hanscon Afb, MA 01731 | 2006-04-12 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| 1972589828 | Aron R. Potter | Psychologist | 90 Vandenberg Drive, Bldg 1900 66 Mds (afmc), Hanscom Afb, MA 01731 | 2005-12-21 |
| 1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
| Find all providers in zip 01731 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809332 | Bridget Hillary Barrett | Nurse Practitioner | 5 Dean Cir, Andover, MA 01810-3304 | 2020-07-30 |
| 1144839192 | Lisa Anne Ruffy | Nurse Practitioner | 60 Binney St, Cambridge, MA 02142-1512 | 2020-07-27 |
| 1255949939 | Jazz Lesoleil Hicks | Nurse Practitioner | 16 Forest St, Carver, MA 02330-1115 | 2020-07-17 |
| 1841838935 | Katelyn Tulp Mcnair | Nurse Practitioner | 174 3rd St, Cambridge, MA 02141-2140 | 2019-12-19 |
| 1922642800 | Megan A Lovell | Nurse Practitioner | 200 Commerce Dr # 2, Northbridge, MA 01534-1425 | 2019-11-04 |
| 1003459371 | Elizabeth Connelly Kudzma | Nurse Practitioner | 514 Holly Rd, Marshfield, MA 02050-1775 | 2019-10-19 |
| 1144861303 | Jennifer Abjornson | Nurse Practitioner | 99 Hudson St Apt 3, Boston, MA 02111-1812 | 2019-09-30 |
| 1437706470 | Brittany Griffin | Nurse Practitioner | 123 Camelot Dr Ste 1, Plymouth, MA 02360-3038 | 2019-08-23 |
| 1962069930 | Claudia Anastasia Montesdeoca | Nurse Practitioner | 348 Hyde Park Ave # 3, Roslindale, MA 02131-2116 | 2019-05-24 |
| 1134694565 | Theresa C Murphy | Nurse Practitioner | 100 West St Ste 1, Needham, MA 02494-1319 | 2018-10-12 |
| Find all providers with the same taxonomy | ||||
| City | HANSCOM AFB |
| Zip Code | 01731 |
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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.