MRS. JENIFER L MCKENNEY (NPI# 1992069058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992069058 |
| Entity Type | Individual |
| Full Name | MRS. JENIFER L MCKENNEY |
| Other Name | JENIFER M PIPER |
| Credential | FNP |
| Practice Address |
417 State Street Webber West Suite 141 Bangor ME 04401 |
| Mailing Address |
43 Whiting Hill Rd Ste 300 Brewer ME 04412-1006 |
| Practice Telephone | 2079734670 |
| Practice Fax Number | 2079734669 |
| Mailing Telephone | 2079734670 |
| Mailing Fax Number | 2079734669 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP121061 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
CNP121061 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
417 STATE STREET WEBBER WEST SUITE 141 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790765329 | Christine Mary Fink | Clinical Neuropsychologist | 417 State Street, Webber East, Suite 209, Bangor, ME 04401 | 2006-01-19 |
| 1083215404 | Ahmed Messahel | Oral & Maxillofacial Surgery | 417 State Street, Webber West Suite 340, Bangor, ME 04441-6630 | 2020-11-03 |
| 1417580754 | Nicholas John Liska | Orthopaedic Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401 | 2020-02-14 |
| 1356809883 | Abigail Elizabeth Bobbitt | Physician Assistant | 417 State Street, Webber West, Suite 443, Bangor, ME 04401 | 2019-03-04 |
| 1740732478 | Gabrielle Ingerson | Physician Assistant | 417 State Street, Bangor, ME 04401 | 2016-10-28 |
| 1780098236 | Farwa Batool | Surgery | 417 State Street, Suite 340, Webber West, Bangor, ME 04401-6634 | 2014-06-12 |
| 1881968543 | Rudolph Daniel Marciano IIi | Neurological Surgery | 417 State Street, Webber East, Ste 221, Bangor, ME 04401 | 2012-02-28 |
| 1932335940 | Marilyn Joy Erickson | Genetic Counselor, MS | 417 State Street, Suite 305, Bangor, ME 04401 | 2009-06-04 |
| 1760618862 | James M Macnutt | Neurological Surgery | 417 State Street, Webber East Building Suite 221, Bangor, ME 04401 | 2009-06-03 |
| 1811041437 | Diane Marion Reynolds | Physician Assistant | 417 State Street, Webber East, Suite 310, Bangor, ME 04401-1000 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699716928 | Mary E Therriault | Nurse Practitioner | 792 State St, Bangor, ME 04401-5610 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407974140 | Lynn I Reid | Nurse Practitioner | 100 Us Route 1, Breast Care Center, Scarborough, ME 04074-9302 | 2007-03-27 |
| 1407889157 | Leah Coplon | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04101 | 2006-07-08 |
| 1689664831 | Nancy Apel Carroll | Nurse Practitioner | 778 Main St, Suite 2, South Portland, ME 04106-5447 | 2005-10-27 |
| 1477972354 | Ashley Pratt | Nurse Practitioner | 71 Us Route 1, Suite A, Scarborough, ME 04074-7173 | 2014-04-08 |
| 1154605459 | Abigail S. Butler | Nurse Practitioner | 367 Us Route 1, Falmouth, ME 04105-1350 | 2011-10-05 |
| 1770895187 | Back Cove Midwives | Nurse Practitioner | 527 Ocean Ave, Portland, ME 04103-4972 | 2010-07-14 |
| 1831375039 | Dennifer D Hardy | Nurse Practitioner | 193 Front St, Suite 5, Farmington, ME 04938-5834 | 2008-01-17 |
| 1154430023 | Jane G. Adams | Nurse Practitioner | 112 Sanford Rd, Suite 2a, Wells, ME 04090-5533 | 2006-08-30 |
| 1366475097 | Joyce Poirier | Nurse Practitioner | 195 Fore River Pkwy, Suite 440, Portland, ME 04102-2780 | 2006-07-08 |
| 1588642672 | Kathryn G. Booth | Nurse Practitioner | 5 Caldwell Rd, Augusta, ME 04330-5739 | 2006-01-09 |
| 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.