JUDANA SANDRA BENNETT (NPI# 1073130167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073130167 |
| Entity Type | Individual |
| Full Name | JUDANA SANDRA BENNETT |
| Practice Address |
46 Lambert Ave Roxbury MA 02119-1766 |
| Mailing Address |
909 Sumner St Stoughton MA 02072-3396 |
| Practice Telephone | 6178166505 |
| Mailing Telephone | 7812225530 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
46 LAMBERT AVE |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1558961045 | Nadia Mancia | Student in an Organized Health Care Education/Training Program | 245 Eustis St, Roxbury, MA 02119-2826 | 2020-10-26 |
| 1922605559 | Sarah Thurlow | Student in an Organized Health Care Education/Training Program | 245 Eustis St, Roxbury, MA 02119-2826 | 2020-10-06 |
| 1801403233 | Emily Hope Pettengill | Student in an Organized Health Care Education/Training Program | 245 Eustis St, Roxbury, MA 02119-2826 | 2020-09-29 |
| 1659987204 | Eleonora Nestora Michael | Student in an Organized Health Care Education/Training Program | 17 Greenville St, Roxbury, MA 02119-2315 | 2020-09-18 |
| 1396356267 | Kathryn Elizabeth Mulcahy | Student in an Organized Health Care Education/Training Program | 17 Greenville St, Roxbury, MA 02119-2315 | 2020-08-13 |
| 1750917480 | Xixi Zhou | Student in an Organized Health Care Education/Training Program | 1290 Tremont St, Roxbury, MA 02120-3432 | 2020-03-13 |
| 1912548546 | Mia Weiler | Student in an Organized Health Care Education/Training Program | 17 Greenville St, Roxbury, MA 02119-2315 | 2019-10-04 |
| 1225687817 | Kimberley Richardson | Student in an Organized Health Care Education/Training Program | 520 Dudley St, Roxbury, MA 02119-2769 | 2019-09-06 |
| 1689221798 | Rabiatu Orlandimeje | Student in an Organized Health Care Education/Training Program | 520 Dudley St, Roxbury, MA 02119-2769 | 2019-08-22 |
| 1376196899 | Sarah Wu | Student in an Organized Health Care Education/Training Program | 520 Dudley St, Roxbury, MA 02119-2769 | 2019-07-23 |
| Find all providers in ROXBURY | ||||
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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.