Jennifer T Dibello (NPI# 1225379332, PAC ID# 9335387307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1225379332 |
| PAC ID by PECOS | 9335387307 |
| Professional Enrollment ID | I20130603000553 |
| Full Name | Jennifer T Dibello |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Address |
148 W River St Suite 1g Providence RI 02904-2615 |
| Phone Number | 4017937817 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 584 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 148 W River St, Suite 1g, Providence, RI 02904-2615 | 4017937817 | LIFESPAN PHYSICIAN GROUP, INC. |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| John A Day Jr. | Pulmonary Disease | Lifespan Physician Group, Inc. | 19 Friendship, Providence, RI 02903-3913 |
| Terri L Chalker | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Adriana M Hosu | Internal Medicine | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Andrea C Sartori | Clinical Psychologist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Damien Paul Hebert | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 17 Seekonk St, Providence, RI 02906-5125 |
| Rebecca Leigh Jackson | Nurse Practitioner | Lifespan Physician Group, Inc. | 185 High Service Ave, North Providence, RI 02904-5114 |
| Kristin Beauregard | Nurse Practitioner | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Lynn C Schultz | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Lindsay W Schnetzer | Clinical Psychologist | Lifespan Physician Group, Inc. | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 |
| Street Address |
148 W RIVER ST SUITE 1G |
| City | PROVIDENCE |
| State | RI |
| Zip | 02904-2615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Benjamin Vogel | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Providence, RI 02904-2615 |
| David S Bick | Otolaryngology | Ri Ear Nose and Throat Physicians Inc. | 148 W River St, Suite 2a, Providence, RI 02904-2615 |
| Michael P Johnson | Internal Medicine | 148 W River St, Suite 22b, Providence, RI 02904-2628 | |
| Marla C Angermeier | Dermatology | Marla C Angermeier, Md, PC | 148 W River St, 1b, Providence, RI 02904-2615 |
| Lucia E Larson | Internal Medicine | Lifespan Physician Group Inc | 148 W River St, Providence, RI 02904-2615 |
| Cynthia L Siegel | Certified Nurse Midwife (cnm) | Lifespan Physician Group Inc | 148 W River St, Suite 8, Providence, RI 02904-2615 |
| Camille K Williams | Certified Nurse Midwife (cnm) | Lifespan Physician Group Inc | 148 W River St, Providence, RI 02904-2615 |
| Annmarie A Jurczak | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Providence, RI 02904-2615 |
| Sheenagh M Bodkin | Internal Medicine | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert B Patterson | Vascular Surgery | 486 Silver Spring St, Providence, RI 02904-1556 | |
| Nishit Shah | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Laurel A Gay | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Adam Klipfel | Colorectal Surgery (proctology) | University Surgical Associates, Inc. | 208 Collyer St, Suite 302, Providence, RI 02904-1560 |
| Fredric V Christian | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Roger D Raymond | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Michelle Kristen Finkelman | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Olivia Macaskill | Nurse Practitioner | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Susan P Emaus | Physician Assistant | The Miriam Hospital | 208 Collyer St, Suite 100, Providence, RI 02904-1560 |
| Kenneth S Korr | Cardiovascular Disease (cardiology) | The Miriam Hospital | 208 Collyer St, Providence, RI 02904-1560 |
| Find all physicians in zip 02904 | |||
| City | PROVIDENCE |
| Zip Code | 02904 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | PROVIDENCE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Jennifer T Dibello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.