JESSICA BENNETT (NPI# 1811183486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811183486 |
| Entity Type | Individual |
| Full Name | JESSICA BENNETT |
| Other Name | JESSICA GENIER |
| Credential | RTR |
| Practice Address |
17 Warner Hill Rd Ticonderoga NY 12883-3700 |
| Practice Telephone | 3157676721 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | CRT14291 | AZ | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870458 | Jessica Bennett | Family Medicine | 8946 Mcwhorter Rd, London, KY 40741-8721 | 2020-01-17 |
| 1093368433 | Jessica Sophia Bennett | Nurse Anesthetist, Certified Registered | 424 Heritage Village Ln, Apex, NC 27502-8492 | 2019-07-23 |
| 1275011223 | Jessica Bennett | Dietitian, Registered | 1211 21st Ave South 607 Mab, Nashville, TN 37232-1320 | 2018-08-01 |
| 1538675079 | Jessica Bennett | Behavioral Analyst | 7050 W 107th St Ste 110, Overland Park, KS 66212-1829 | 2017-12-20 |
| 1578014072 | Jessica Bennett | Emergency Medical Technician, Intermediate | 25 Se Wanapa St, Cascade Locks, OR 97014-7002 | 2016-10-19 |
| 1306396197 | Jessica Dale Bennett | Occupational Therapy Assistant | 6401 Ohio Dr, Plano, TX 75024-6700 | 2016-10-05 |
| 1033667803 | Jessica Lee Bennett | Specialist/Technologist | 134 N Rose St, Baltimore, MD 21224-1152 | 2016-09-21 |
| 1821483025 | Jessica Lynn Bennett | Registered Nurse | 3020 Children's Way, Mc 5008, San Diego, CA 92123 | 2015-04-03 |
| 1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
| 1902219587 | Jessica Bennett | Social Worker | 216 Olive St, Texarkana, AR 71854-5932 | 2014-06-11 |
| Street Address |
17 WARNER HILL RD |
| City | TICONDEROGA |
| State | NY |
| Zip Code | 12883-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582822 | Walgreen Co | Pharmacy | 1161 Nys Route 9n, Ticonderoga, NY 12883 | 2017-07-28 |
| 1891233540 | Anne Kuhl | Specialist | 70 Lake George Ave, Ticonderoga, NY 12883 | 2017-02-02 |
| 1336697580 | Hayley Jean Woods | Pharmacist | 1161 Nys Rte 9n, Ticonderoga, NY 12883 | 2016-09-16 |
| 1962776153 | Linda L Leavens | Counselor | 166 Lord Howe St., Ticonderoga, NY 12883 | 2012-03-06 |
| 1093958084 | Diana J Eisenberg | Skilled Nursing Facility | 340 Burgoyne Road, Ticonderoga, NY 12883 | 2009-04-07 |
| 1386765881 | Dean Lewis Cook | Dentist | 3 Defiance St, Ticonderoga, NY 12883 | 2007-04-02 |
| 1902936941 | Susan B Malaney | Counselor | 5 Defiance Street, Ticonderoga, NY 12883 | 2007-03-07 |
| 1023182813 | Moses Ludington Hospital Pharmacy | Pharmacy | 1019 Wicker Street, Ticonderoga, NY 12883 | 2006-11-20 |
| 1336245083 | Ticonderoga Emergency Squad Inc | Ambulance | 118 Champlain Avenue, Ticonderoga, NY 12883 | 2006-09-16 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| Find all providers in zip 12883 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523648 | Anthony Russo | Radiologic Technologist | 163 Quarterdeck Pl, Rochester, NY 14612-1432 | 2020-06-18 |
| 1578013124 | Myrna I Hernandez | Radiologic Technologist | 920 Metcalf Ave, 20h, Bronx, NY 10473-4007 | 2016-10-06 |
| 1518414812 | Julia Price | Radiologic Technologist | 90 Riverwalk Way, Cohoes, NY 12047-3335 | 2016-09-02 |
| 1447620414 | Elzbieta Wojciechowska | Radiologic Technologist | 135 Spring Meadow Dr Apt 9, Buffalo, NY 14221-8437 | 2015-10-02 |
| 1912314220 | Michael Marchitte IIi | Radiologic Technologist | 32 N Ogden St, Buffalo, NY 14206-1429 | 2014-07-18 |
| 1902226319 | Kensington Radiology Group PC | Radiologic Technologist | 651b Coney Island Ave, Brooklyn, NY 11218-0000 | 2014-04-24 |
| 1063845683 | Precison Diagnostic Imaging Inc. | Radiologic Technologist | 278 Community Dr, Smithtown, NY 11787-3877 | 2013-08-19 |
| 1740580604 | 4220 Asscociates, PC | Radiologic Technologist | 2529 87th St, East Elmhurst, NY 11369-1020 | 2010-10-26 |
| 1932414471 | Suzanne Marciano | Radiologic Technologist | 3280 Sunrise Hwy, Suite 301, Wantagh, NY 11793-4024 | 2010-08-09 |
| 1134451883 | Ultraplus Group, Inc. | Radiologic Technologist | 2756 Gerritsen Ave, Brooklyn, NY 11229-5915 | 2010-02-05 |
| Find all providers with the same taxonomy | ||||
| City | TICONDEROGA |
| Zip Code | 12883 |
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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.