Jenna Beth Callahan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN00763 Issued in RI

Practice address

69 Bradley St
Woonsocket, RI 02895-5901

Phone

(401) 744-3652

NPI assigned

Dec 31, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lifespan Physician Group, Inc.

  • General Practice Physician
  • Providence, RI
  • NPI 1407116643

  RI

  Medicare reassignment NPD
• Lifespan Physician Group, Inc.

  • Emergency Medicine Physician
  • Providence, RI
  • NPI 1568325678

  Family

  NPD
• Lifespan Physician Group, Inc.

  • Psychiatry Physician
  • Providence, RI
  • NPI 1548506793
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1679938971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BRADLEY ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955901",
            "telephone_number": "401-744-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BRADLEY ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955901",
            "telephone_number": "401-744-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 S Washington St Unit 4",
            "address_purpose": "LOCATION",
            "city": "North Attleboro",
            "state": "MA",
            "postal_code": "027602159",
            "country_code": "US",
            "telephone_number": "508-699-8444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Blackstone Valley Pl Ste 306B",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028651112",
            "country_code": "US",
            "telephone_number": "401-334-4021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "JENNA",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN00763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Noelle Butler, MSN, APRN, FNP-C
• Mollie Caguin
• Cai Internal Medicine
• Laurie Cairone, RN
• Antoinette Calixte, RN
• Deiona R Camara, LPN
• Donald Jay Cameron Jr., M.DIV.
• Jennifer Ann Camp, B.A.
• Susan Jean Campagna, RN
• Elizabeth Campo

• All providers in Woonsocket, RI
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.