JESSICA SHATTUCK (NPI# 1003425281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003425281 |
Entity Type | Individual |
Full Name | JESSICA SHATTUCK |
Credential | MSN, APRN, WHNP-BC |
Practice Address |
108 Slippery Rock Ln Berea OH 44017-3155 |
Practice Telephone | 4406103710 |
Mailing Telephone | 4406103710 |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0027135 | OH | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023308681 | Jessica Shattuck | Physical Therapist | 637 Washington Street, Suite 102, Brookline, MA 02446 | 2011-04-15 |
Street Address |
108 SLIPPERY ROCK LN |
City | BEREA |
State | OH |
Zip Code | 44017-3155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
Find all providers in zip 44017 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235337239 | Lauren Ethel Bara | Nurse Practitioner | 275 Eastland Rd, Berea, OH 44017-2005 | 2007-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790384790 | Kimberly Chmielewski | Nurse Practitioner | 3422 Cross Creek Cir, Wooster, OH 44691-1861 | 2020-10-21 |
1649877077 | Lee Danielle Watts | Nurse Practitioner | 2152 E State Route 29, Urbana, OH 43078-9779 | 2020-10-08 |
1205460060 | Katherine Niles | Nurse Practitioner | 7884 Oak Valley Rd, Reynoldsburg, OH 43068-1577 | 2020-03-02 |
1447803267 | Amy Kathleen Mock | Nurse Practitioner | 575 Westar Xing Ste 102, Westerville, OH 43082-7815 | 2019-07-21 |
1659933729 | Ashley Marie Brown | Nurse Practitioner | 2055 Crocker Rd Ste 206, Westlake, OH 44145-2197 | 2019-06-28 |
1144881772 | Erin Burris | Nurse Practitioner | 201 5th St Ne Ste 15, Barberton, OH 44203-3017 | 2019-06-25 |
1326604299 | Tiffany Messerall | Nurse Practitioner | 1577 Guilford Rd, Columbus, OH 43221-3850 | 2019-05-15 |
1093298689 | Jennifer Emrick | Nurse Practitioner | 3909 Orange Pl Ste 4400, Beachwood, OH 44122-4482 | 2018-09-11 |
1730661703 | Lisa Taormina-dingman | Nurse Practitioner | 7067 Tiffany Blvd Ste 220, Poland, OH 44514-1981 | 2018-09-05 |
1912407487 | Heather Hissom | Nurse Practitioner | 16761 Saint Clair Ave Ste 2, East Liverpool, OH 43920-9400 | 2018-02-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.