Active NPI
Jennifer Lynn Jett, CRNA
- Certified Registered Nurse Anesthetist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2286125
- Practice address
- 55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002 - Phone
- (508) 334-3271
- Fax
- (508) 856-5911
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN1003031 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2286125 | MA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Department of Anesthesiology
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Georgetown University School of Medicine, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6298
99 Libbey Industrial Park
Weymouth, MA 02189-3101
Phone (781) 331-0537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1003031 | DC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJM Medical Services, PC | Current | Accepting new patients | |
| South Suburban Gastroenterology, PC | Current | Accepting new patients | |
| Capa Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Commonwealth Anesthesia Associates, Inc | Current | Accepting new patients |
Locations
170 Governors Ave
Ste 100
Medford, MA 02155
Phone (617) 277-1205
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
40 Holland St
Somerville, MA 02144
Phone (617) 629-6000
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
97 Libbey Park
Ste 300
Weymouth, MA 02189
Phone (781) 331-2922
1085 Main St
Weymouth, MA 02190
Phone (781) 331-2922
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Weymouth, MA
- NPI 1629723002
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Newton, MA
- NPI 1184645194
-
- Anesthesiology Physician
- Waltham, MA
- NPI 1952548265
-
- Gastroenterology Physician
- South Weymouth, MA
- NPI 1114948478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382918400000",
"number": "1033141767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"address_2": "DEPARTMENT OF ANESTHESIOLOGY",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-3271",
"fax_number": "508-856-5911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETT",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2013-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN1003031",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2286125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.