DR. JENNIFER BENTLEY KIDD (NPI# 1659660348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659660348 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER BENTLEY KIDD |
| Other Name | JENNIFER RYAN BENTLEY |
| Credential | M.D. |
| Practice Address |
401 S 12th St Port Aransas TX 78373-5328 |
| Mailing Address |
Po Box 328 Port Aransas TX 78373-0328 |
| Practice Telephone | 2108721863 |
| Mailing Telephone | 2108721863 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
J5542 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164929824 | Jennifer Nicole Kidd | Licensed Vocational Nurse | 7094 Huntersmoon Ct, Hamilton, OH 45011 | 2018-04-10 |
| 1144609868 | Jennifer Kidd | Obstetrics & Gynecology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2015-05-27 |
| 1780891473 | Jennifer Roberts Kidd | Internal Medicine | 10900 Euclid Ave, Cleveland, OH 44106-1712 | 2007-05-16 |
| 1528065067 | Jennifer Kidd | Specialist | 110 29th Ave N, Ste 202, Nashville, TN 37203-1401 | 2005-06-30 |
| Street Address |
401 S 12TH ST |
| City | PORT ARANSAS |
| State | TX |
| Zip Code | 78373-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497179162 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 710 Highway 361, Port Aransas, TX 78373 | 2014-02-14 |
| 1043493828 | Third Coast Rx Inc | Pharmacy | 600 Cutoff Rd, Ste 16 17, Port Aransas, TX 78373 | 2007-12-14 |
| 1255564233 | Deborah F Winstead | Counselor | 800 E Ave G, Port Aransas, TX 78373-0157 | 2009-08-25 |
| 1699008979 | Shanna R Smith | Massage Therapist | 1120 S. 11th St, Port Aransas, TX 78373-1404 | 2009-09-17 |
| 1184643850 | City of Port Aransas | Ambulance | 705 W Avenue A, Port Aransas, TX 78373-4112 | 2006-07-19 |
| 1104027275 | David George Atamantyk | Emergency Medicine | 247 W Roberts, #6, Port Aransas, TX 78373-4159 | 2007-05-29 |
| 1336134188 | Bruce Lynn Russell | Emergency Medicine | 600 Cut Off Rd, Suite 14, Port Aransas, TX 78373-4245 | 2005-09-19 |
| 1982043436 | Dental Oasis, Pllc | Dentist | 600 Cut Off Rd, Suite 2, Port Aransas, TX 78373-4245 | 2013-06-18 |
| 1003196916 | Christopher John Kight | Dentist | 600 Cut Off Rd, Suite 2, Port Aransas, TX 78373-4245 | 2011-08-23 |
| 1144411026 | Janie Caddis Russell | Nurse Practitioner | 600 Cut Off Rd, Suite 14, Port Aransas, TX 78373-4245 | 2007-08-06 |
| Find all providers in zip 78373 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847672 | East Texas Functional Medicine Center, Pllc | Preventive Medicine | 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 | 2020-09-29 |
| 1710502695 | Carol Pena | Preventive Medicine | 412 Capricorn St, Cedar Hill, TX 75104-8106 | 2020-06-16 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1942845565 | Preferred Cardio Checkup Management LLC | Preventive Medicine | 211 Bent Creek Dr, Waxahachie, TX 75165-6353 | 2019-11-07 |
| 1982256129 | Lifeworx | Preventive Medicine | 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 | 2019-07-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1588122774 | Jason James Moran | Preventive Medicine | 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 | 2019-03-06 |
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1013423284 | Anew You Medical Weight Loss and Spa | Preventive Medicine | 14602 Huebner Rd, 100, San Antonio, TX 78230 | 2017-12-23 |
| Find all providers with the same taxonomy | ||||
| City | PORT ARANSAS |
| Zip Code | 78373 |
Please comment or provide details below to improve the information on DR. JENNIFER BENTLEY KIDD.
| 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.