MS. JENNIFER VICTORIA MENENDEZ (NPI# 1497206551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497206551 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER VICTORIA MENENDEZ |
| Credential | PA |
| Practice Address |
3024 E Empire St Bloomington IL 61704-5402 |
| Mailing Address |
8 Bandecon Way Bloomington IL 61704-8195 |
| Practice Telephone | 3095567500 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085005982 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3024 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922212638 | Rhoda Jean Gottfried | Psychiatry & Neurology | 3024 E Empire St, 2nd Floor Suite A, Bloomington, IL 61704-5402 | 2007-05-10 |
| 1538700851 | Cameron Troy Jackson Stengel | Physician Assistant | 3024 E Empire St, Bloomington, IL 61704-5402 | 2019-10-08 |
| 1578951075 | Desha Cobb | Nurse Practitioner | 3024 E Empire St, Bloomington, IL 61704-5402 | 2015-01-06 |
| 1770989220 | Jennifer Gibb | Nurse Practitioner | 3024 E Empire St, Bloomington, IL 61704 | 2014-11-11 |
| 1770828626 | Dermatology and Mohs Surgery Institute, Ltd. | Specialist | 3024 E Empire St, 2nd Floor, Suite F, Bloomington, IL 61704-5402 | 2012-12-04 |
| 1902131014 | David Milligan | Pediatrics | 3024 E Empire St, Bloomington, IL 61704-5402 | 2009-10-07 |
| 1285804724 | Andrea Michelle Kane | Pediatrics | 3024 E Empire St, Bloomington, IL 61704-5402 | 2008-03-11 |
| 1083890156 | Aaron Reid Traeger | Pediatrics | 3024 E Empire St, Bloomington, IL 61704-5402 | 2008-01-18 |
| 1255523296 | Douglas Michael Leone | Dermatology | 3024 E Empire St, Ste E & F, Bloomington, IL 61704-5402 | 2007-08-14 |
| 1982800876 | Sasikala Royyuru | Family Medicine | 3024 E Empire St, Bloomington, IL 61704-5402 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801041348 | David Cushman | Physician Assistant | 8357 Blaisdell Ave S, Bloomington, MN 55420-2220 | 2008-11-25 |
| 1174174536 | Ivanna Tiffany Yu | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-09-26 |
| 1518430537 | Lauren Cantor | Physician Assistant | 326 S Woodscrest Dr, Bloomington, IN 47401-5314 | 2019-01-03 |
| 1033605845 | Cheyenne Olivia Powers | Physician Assistant | 813 W 2nd St, Bloomington, IN 47403-2212 | 2018-07-03 |
| 1457873275 | Cameron Hernandez | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2017-07-13 |
| 1093170557 | Perinjit K Bachra | Physician Assistant | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2015-12-28 |
| 1255694212 | Lisa Erin Clemente | Physician Assistant | 601 W 2nd St, Bloomington, IN 47403-2317 | 2012-06-24 |
| 1992973846 | Wendy Veeder | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2008-02-13 |
| 1063599660 | Steven Eugene Jacobs | Physician Assistant | 600 N Jordan Ave, Bloomington, IN 47405-3190 | 2006-11-01 |
| 1851499339 | Roger Leon Lehman | Physician Assistant | 421 S Landmark Ave, Bloomington, IN 47403-5003 | 2006-09-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MS. JENNIFER VICTORIA MENENDEZ.
| 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.