Active NPI
Jennifer Ann Drake, M.ED
- Behavior Analyst
- Cranston, RI
National Provider Identifier
1861037640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- LBA00179
- Practice address
- 45 Sockanosset Cross Rd
Cranston, RI 02920-5529 - Phone
- (877) 943-8222
- NPI assigned
- Nov 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | LBA00179 | RI | Primary |
Addresses
Primary practice location
45 Sockanosset Cross Rd
Cranston, RI 02920-5529
Mailing address
9 Milton Rd
Barrington, RI 02806-1101
Phone (401) 536-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LBA00179 | RI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1861037640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MILTON RD",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028061101",
"telephone_number": "401-536-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SOCKANOSSET CROSS RD",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205529",
"telephone_number": "877-943-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "M.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "RI",
"license": "LBA00179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.