Jennifer L Prouty, CNS

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

127636 Issued in MA

Practice address

74 County Rd
Post Office Box 1006
Mattapoisett, MA 02739-1650

Phone

(508) 758-6898

Fax

(508) 758-6397

NPI assigned

Apr 14, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1508009028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 COUNTY RD",
            "address_2": "POST OFFICE BOX 1006",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391650",
            "telephone_number": "508-758-6898",
            "fax_number": "508-758-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 COUNTY RD",
            "address_2": "POST OFFICE BOX 1006",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391650",
            "telephone_number": "508-758-6898",
            "fax_number": "508-758-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUTY",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "127636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley A Neyhart, N.P.
• Victor M Nyakundi, D.M.D.
• Dana O'Dowd
• James Andrew Pierson, MSW, LICSW
• Eric Pinho, PMHNP-BC
• Lewis Isaac Prouty
• Patrick Ralph, M.S.
• Meghan Curry Robitaille, LICSW
• Augusta T Rosenthal, MSW
• Safe Harbor Wellness, Inc.

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Mattapoisett, MA
• Providers in Mattapoisett, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.