JENNIFER J AVERILL MOFFITT (NPI# 1730145533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730145533 |
| Entity Type | Individual |
| Full Name | JENNIFER J AVERILL MOFFITT |
| Other Name | JENNIFFER J AVERILL |
| Credential | CNM |
| Practice Address |
26 Queen St Family Health Center of Worcester, Inc. Worcester MA 01610-2473 |
| Mailing Address |
26 Queen St Worcester MA 01610-2473 |
| Practice Telephone | 5088607700 |
| Practice Fax Number | 5088607929 |
| Mailing Telephone | 5088607700 |
| Mailing Fax Number | 5088607929 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 257370 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE GROUP # | Y10141 | 01 | |
| MA | 1300709 | 05 | |
| MA | BLUE SHIELD NUMBER | CN0334 | 01 |
| Street Address |
26 QUEEN ST FAMILY HEALTH CENTER OF WORCESTER, INC. |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
| 1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
| 1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
| 1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
| 1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
| 1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649411182 | Carol Mathewson | Midwife | 98 Moreland Green Dr, Worcester, MA 01609-1076 | 2009-03-12 |
| 1215116520 | Erin Cecilia Ryan | Midwife | 121 Calais Rd, Worcester, VT 05682-9799 | 2007-11-02 |
| 1124166764 | Erika Christina Beecher | Midwife | 34 Dayton St, Worcester, MA 01609-2147 | 2007-02-04 |
| 1417964511 | Denise Kight | Midwife | 123 Summer St Ste 150s, Worcester, MA 01608-1216 | 2006-08-02 |
| 1134765225 | Gina M Tytula | Midwife | 123 Summer St Ste 150s, Worcester, MA 01608-1216 | 2019-11-23 |
| 1225587462 | Catherine Ann Ruell | Midwife | 123 Summer St, Suite 150 S, Worcester, MA 01608-1216 | 2016-09-29 |
| 1346667391 | Alison F Engel | Midwife | 123 Summer St, Suite 150s, Worcester, MA 01608-1216 | 2014-03-27 |
| 1447592290 | Lynne A. Masterson | Midwife | 123 Summer St, Suite 150s, Worcester, MA 01608-1216 | 2013-03-20 |
| 1144280553 | Cynthia F Joslyn | Midwife | 123 Summer St, Worcester, MA 01608-1200 | 2006-03-28 |
| 1013977602 | Anne E Covino | Midwife | 123 Summer St, Worcester, MA 01608-1200 | 2006-03-27 |
| Find all providers in WORCESTER | ||||
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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.