JENNIFER ANN BODENSTEINER (NPI# 1952455537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952455537 |
Entity Type | Individual |
Full Name | JENNIFER ANN BODENSTEINER |
Credential | MS, ATC, LAT |
Practice Address |
111 W Jefferson Blvd Suite 100 South Bend IN 46601-1994 |
Mailing Address |
1855 Altgeld St South Bend IN 46614-1603 |
Practice Telephone | 5742894764 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 36000645A | IN | Other Service Providers |
Street Address |
111 W JEFFERSON BLVD SUITE 100 |
City | SOUTH BEND |
State | IN |
Zip Code | 46601-1994 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629075957 | Linda A Mansfield | Family Medicine | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2005-07-01 |
1912521378 | Andrew John Findley | Physical Therapist | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2020-06-02 |
1346711652 | Jennifer Cunningham | Physical Therapist | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2018-12-13 |
1730677295 | Katelyn Patberg | Specialist/Technologist | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2018-04-30 |
1578722450 | Paul Adam Enright | Acupuncturist | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2008-06-05 |
1275712085 | Kara G Werner | Specialist/Technologist | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2007-10-29 |
1609063908 | Praveen Putlur | Physical Therapist | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2007-10-01 |
1528277951 | Freya L Burket | Social Worker | 111 W Jefferson Blvd, South Bend, IN 46601-1994 | 2007-05-22 |
1093726713 | Jennifer A Brake | Family Medicine | 111 W Jefferson Blvd, Ste 100, South Bend, IN 46601-1994 | 2006-08-10 |
1578515151 | Beacon Medical Group, Inc. | Family Medicine | 111 W Jefferson Blvd, Suite 100, South Bend, IN 46601-1994 | 2006-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
Find all providers in zip 46601 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1871922799 | Northern Indiana Orthopaedic Specialty Associates, PC | Specialist | 6301 University Commons Ste 420, South Bend, IN 46635-1416 | 2013-11-01 |
1962642306 | Lisa James | Specialist | 60660 Gentle Run Ct, South Bend, IN 46614-5185 | 2009-02-25 |
1497928055 | Amy Dennise Woodard | Specialist | 606 Robert Bush Drive, Suite 1, South Bend, WA 98586-0384 | 2008-04-03 |
1497842033 | Worksport Rehabilitation Service | Specialist | 411 E Ireland Rd Ste 400, South Bend, IN 46614-2681 | 2006-10-06 |
1104834670 | Renee L Hensley | Specialist | 411 E Ireland Rd, Ste 400, South Bend, IN 46614-2680 | 2006-08-03 |
1649225095 | Allied Hematology Oncology Associates LLC | Specialist | 6319 State Road 23, South Bend, IN 46635-1475 | 2006-05-24 |
1528013372 | Uthman Cavallo | Specialist | 53800 Generations Dr, South Bend, IN 46635 | 2006-05-23 |
1578547402 | Ismail Al-ani | Specialist | 621 Memorial Drive, Suite512, South Bend, IN 46601-1074 | 2005-12-05 |
1003818212 | John L Jenkins | Specialist | 621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 | 2005-06-01 |
1205473451 | Integrative Care Partners LLC | Specialist | 211 N Eddy St, South Bend, IN 46617-2808 | 2019-12-06 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46601 |
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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.