Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Judana Sandra Bennett

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073130167

Judana Sandra Bennett is a Nurse Practitioner in Roxbury, Massachusetts. Qualified in 2023, 3 years ago. Practices with Dimock Community Health Center, Inc, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

45 Dimock St
Roxbury, MA 02119-1208
Phone: (617) 816-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 23 Bradston St, Boston, MA 02118-2703 — (617) 318-6484
  • 25 James Oneill St, Boston, MA 02127-4504 — (617) 534-9500

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2278761 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073130167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 6, 2020
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing addressPo Box 191134, Roxbury, MA 02119-0023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dimock Community Health Center, Inc. — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roxbury