Individual provider Active NPI

Jennifer Corinne Bender, RN-C, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Morgantown, WV
National Provider Identifier
1881445674
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-13451 Issued in VA
Practice address
2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168
Phone
(304) 599-6811
NPI assigned
Mar 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 68610 WV
Perinatal Registered Nurse 163WP1700X 68610 WV
Inpatient Obstetric Registered Nurse 163WX0003X 68610 WV
Lactation Consultant (Registered Nurse) 163WL0100X L-13451 VA Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168

Mailing address

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1168
Phone (304) 599-6811

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

State licenses

LicenseStateTypeSpecialty
L-13451VAMDLactation Consultant (Registered Nurse)
68610WVMDInpatient Obstetric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1881445674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051168",
            "telephone_number": "304-599-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JENNIFER",
        "middle_name": "CORINNE",
        "credential": "RN-C, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WV",
            "license": "68610",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "WV",
            "license": "68610",
            "primary": false
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "WV",
            "license": "68610",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L-13451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.