JENNIFER BERNACHE (NPI# 1619494945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619494945 |
| Entity Type | Individual |
| Full Name | JENNIFER BERNACHE |
| Credential | FNP-C |
| Practice Address |
54 Reynolds St Danielson CT 06239-2917 |
| Mailing Address |
98 Cavalcade Blvd Warwick RI 02889-1605 |
| Practice Telephone | 8607747501 |
| Practice Fax Number | 8607792191 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
48552 | RI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7313 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 593 Eddy St, Providence, RI 029034923 | 4014444900 |
| Street Address |
54 REYNOLDS ST |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578676862 | Catherine Shafts | Family Medicine | 54 Reynolds St, Danielson, CT 06239-2917 | 2006-08-17 |
| 1891265518 | Brittany Lee Besse | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2018-11-26 |
| 1003359720 | Nicole Marden | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-11-29 |
| 1871040675 | Pamela Johnson | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-09-08 |
| 1265785299 | Abby Ann Gloria | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2012-10-15 |
| 1518122134 | Generations Family Health Center Inc | Clinic/Center | 54 Reynolds St, Danielson, CT 06239-2917 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075218 | Brooke Fell | Licensed Practical Nurse | 391 Pomfret Avenue, Putnam, CT 06239 | 2018-09-01 |
| 1780920215 | Donna Johnston | Social Worker | 70 Cottage Street, Danielson, CT 06239 | 2013-01-03 |
| 1194935718 | Ralph T Campagna | Hearing Instrument Specialist | 594 Putnam Road, Danielson, CT 06239 | 2007-05-23 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1366515207 | Gary Edward Hartell | Chiropractor | 100 Broad Street, Danielsen, CT 06239 | 2006-11-16 |
| 1336223668 | Daniel E Fiore | Pharmacist | 42 Reynolds Street, Danielson, CT 06239 | 2006-10-24 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1730555012 | Anastasia Zhuk Guc | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239 | 2015-08-20 |
| 1033283197 | Optometric Associates of Danielson PC | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-11-20 |
| 1417046830 | Cranston Archer Briggs | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-10-12 |
| Find all providers in zip 06239 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579897 | Kristen M Joly | Nurse Practitioner | 111 Ernest Way, Danielson, CT 06239-4261 | 2020-05-08 |
| 1891265518 | Brittany Lee Besse | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2018-11-26 |
| 1003359720 | Nicole Marden | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-11-29 |
| 1871040675 | Pamela Johnson | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-09-08 |
| 1366875007 | Charity Mcclure | Nurse Practitioner | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2013-08-16 |
| 1265785299 | Abby Ann Gloria | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2012-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 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.