Jake Mansfield
Nurse Anesthetist, Certified Registered in Bethany, Connecticut
1740919141- Practice location
- 41 Timber Ln, Bethany, CT 06524-3365
- Phone
- 203-494-8084
- Fax
- —
- Last updated
- October 29, 2025
Jake Mansfield is a Nurse Anesthetist, Certified Registered based in Bethany, CT. Jake Mansfield practices in Bethany, CT. The NPI Number for Jake Mansfield is 1740919141 and holds a License No. 0024193863 (VA). The current practice location address for Jake Mansfield is 41 Timber Ln, Bethany, CT 06524-3365 and can be reached out via phone at 203-494-8084.
Provider Profile Details
- NPI Number
- 1740919141
- Provider Name
- Jake Mansfield
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 41 Timber Ln, Bethany, CT 06524-3365
- Phone Number
- 203-494-8084
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2022
- Last Update Date
- October 29, 2025
- Certification Date
- October 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Timber Ln
Bethany, CT 06524-3365 - City
- Bethany
- State
- Connecticut
- Zip
- 06524-3365
- Phone Number
- 203-494-8084
Provider Business Mailing Address Details
- Address
- 41 Timber Ln
Bethany, CT 06524-3365 - City
- Bethany
- State
- CT
- Zip
- 06524-3365
License Information
- License Number
- 0024193863
- License State
- VA
- Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jake Mansfield?
The NPI number of Jake Mansfield is 1740919141. It was assigned on June 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Jake Mansfield?
Jake Mansfield is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in VA under license number 0024193863.
Where does Jake Mansfield practice?
The practice location is 41 Timber Ln, Bethany, CT 06524-3365. The office can be reached at 203-494-8084 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740919141 directly on the NPPES registry website.