MS. JENNY BEATRIX JELLIFFE (NPI# 1477860401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477860401 |
| Entity Type | Individual |
| Full Name | MS. JENNY BEATRIX JELLIFFE |
| Credential | MSN |
| Practice Address |
200 Dexter Ave Suite K Watertown MA 02472-4238 |
| Practice Telephone | 6176003195 |
| Practice Fax Number | 6179241207 |
| Mailing Telephone | 6176003195 |
| Mailing Fax Number | 6179241207 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
198155 | MA | Nursing Service Providers |
| Street Address |
200 DEXTER AVE SUITE K |
| City | WATERTOWN |
| State | MA |
| Zip Code | 02472-4238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679707590 | Stacey Nguyen | Registered Nurse | 200 Dexter Ave, Suite K, 2nd Floor, Watertown, MA 02472-4238 | 2009-05-06 |
| 1689989568 | Mary-ellen Cooper | Nurse Practitioner | 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 | 2010-08-16 |
| 1144559915 | Vivian A. Trotta | Physical Therapist | 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 | 2009-12-08 |
| 1295068161 | Laura Black | Nurse Practitioner | 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 | 2009-09-10 |
| 1134452006 | Hazel Audet | Registered Nurse | 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735327 | Gladys Nakungu Kasansula | Counselor | Square Medical Group, 124 Watertown Street, Suite 2d, Watertown, MA 02472 | 2018-10-09 |
| 1447741962 | Hannah Edward | Optometrist | 550 Arsenal Street, Watertown, MA 02472 | 2018-05-21 |
| 1982193504 | Ruth Audrey Silverstein | Social Worker | Perkins School for The Blind, 175 North Beacon Street, Watertown, MA 02472 | 2018-05-09 |
| 1376067355 | Mostafa Medhati | Acupuncturist | 265 Lexington St., Watertown, MA 02472 | 2017-08-01 |
| 1003346313 | Eric Trant | Specialist/Technologist | 50 Columbia Street, Watertown, MA 02472 | 2017-06-19 |
| 1477007730 | Neangkanika Chea | Nurse Practitioner | 2 Repton Place, Apt 2204, Watertown, MA 02472 | 2016-08-04 |
| 1396128120 | Michelle Soares Darocha | Dentist | 18 Hovey Street, Watertown, MA 02472 | 2015-06-29 |
| 1760875496 | Ece Evin Yildirim | Acupuncturist | 557 Mt. Auburn St, Watertown, MA 02472 | 2015-03-05 |
| 1396140927 | Fabrizia Torazzi | Behavioral Analyst | 51 Water Street, Suite 200, Watertown, MA 02472 | 2014-10-24 |
| 1265774392 | Emilia Ann Fulop | Social Worker | 127 North Beacon Street, Watertown, MA 02472 | 2013-03-27 |
| Find all providers in zip 02472 | ||||
| Taxonomy Code | 163WG0600X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265070783 | Erin Catherine Sullivan | Registered Nurse | 100 Cummings Ctr Ste 166, Beverly, MA 01915-6135 | 2019-12-16 |
| 1346712817 | Linda D Revanche | Registered Nurse | 19 Ledgebrook Rd Apt 1, Mattapan, MA 02126-2748 | 2018-12-21 |
| 1073811204 | Richard Bakaluba Kataza | Registered Nurse | 15 Forest Ln, Westborough, MA 01581-1466 | 2011-03-11 |
| 1114102332 | Stacey M Carroll | Registered Nurse | 18 Wayland Cir, Holden, MA 01520-2439 | 2008-01-07 |
| 1790983252 | Karyn Kenney Rizzo | Registered Nurse | 146 Lakeshore Dr, Blackstone, MA 01504-1404 | 2007-07-06 |
| 1093890675 | Flavio B Valdes | Registered Nurse | 25 Powder Cir, Brockton, MA 02301-2828 | 2006-10-25 |
| 1184608358 | Denise Egan | Registered Nurse | 353 Washington St, Norwell, MA 02061-1903 | 2005-12-01 |
| 1114540341 | Elaine W Mandell | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-21 |
| 1861983546 | Erie Dania Baker | Registered Nurse | 1 Franklin Ave, North Attleboro, MA 02760-1705 | 2018-05-29 |
| 1861940645 | Jacquelyn Curadossi | Registered Nurse | 300 Linden Ponds Way, Hingham, MA 02043-3791 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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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.