Marie G Jeanty

Primary specialty

DriverTaxonomy code 172A00000X

License

S77121090 Issued in MA

Practice address

146 Eastern Ave Apt 2
Worcester, MA 01605-4805

Phone

(516) 289-8247

NPI assigned

Jan 4, 2024

Last updated

Jan 4, 2024By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1720858343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 EASTERN AVE APT 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054805",
            "telephone_number": "516-289-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 EASTERN AVE APT 2",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054805",
            "telephone_number": "516-289-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANTY",
        "first_name": "MARIE",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MA",
            "license": "S77121090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loane Jean
• Lounely Jean
• Theodora Jean, RN
• Jeana-Marie Allan, Psy.D., PLLC
• Scott Jeannes, M.D.
• Hussam Aldeen Jefee Bahloul, MD
• Nicole Marie Jeff
• Mary B. Jeffers-Terry, RN,PC
• Jill Ann Jeffers, MA, LSW
• Jeffrey J. Davis, D.D.S.,P.C.

• Driver in Worcester, MA
• Providers in Worcester, MA by specialty
• Driver in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.