JESSICA WATERS (NPI# 1043688690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043688690 |
| Entity Type | Individual |
| Full Name | JESSICA WATERS |
| Credential | PA-C |
| Practice Address |
9227 Bedford Ln Orland Park IL 60462-6745 |
| Practice Telephone | 7087152571 |
| Mailing Telephone | 7087152571 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085005470 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085005470 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376893453 | Jessica M Waters | Behavioral Analyst | 439 Churchill Ct, Kissimmee, FL 34759-5950 | 2012-09-14 |
| 1427676162 | Jessica Leanne Waters | Specialist/Technologist | 1501 Mercer University Dr, Macon, GA 31207-1515 | 2020-07-09 |
| 1932660545 | Jessica Lynn Waters | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2019-03-27 |
| 1497250047 | Jessica B Waters | Licensed Practical Nurse | 153 Independence Dr, Carrollton, GA 30116-9000 | 2018-03-27 |
| 1487197414 | Jessica Denise Waters | Physician Assistant | 102 Commons Blvd, C, Piedmont, SC 29673-7766 | 2016-11-22 |
| 1528435179 | Jessica Waters | Pediatrics | 298 Washington St, Gloucester, MA 01930-4832 | 2015-08-31 |
| 1689836793 | Jessica Janelle Waters | Occupational Therapist | 216 College Blvd, Carmi, IL 62821-1548 | 2008-06-30 |
| 1801920590 | Jessica Lynn Waters | Physical Therapy Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2007-03-15 |
| Street Address |
9227 BEDFORD LN |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60462-6745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257331 | Stephanie Slager | Behavioral Analyst | 8430 W 135th St., Orland Park, IL 60462 | 2019-10-18 |
| 1730652587 | Nancy Lynch | Speech-Language Pathologist | 15100 S 94th Ave Orland School District 135, Orlond Park, IL 60462 | 2019-01-04 |
| 1932681327 | Alyssa Avant | Speech-Language Pathologist | 8851 W 151st St, Orland Park, IL 60462 | 2018-08-31 |
| 1922588110 | Pain Specialists of Greater Chicago S C | Pain Medicine | 15300 West Ave Ste C213, Orland Park, IL 60462 | 2018-08-16 |
| 1689168478 | S- R&r Counseling Inc. | Counselor | 9750 Crescent Park Cir Unit 306, Orland Park, IL 60462 | 2018-06-15 |
| 1104372952 | Amy Blanks | Nurse Anesthetist, Certified Registered | 13959 95th Avenue, Orland Park, IL 60462 | 2016-08-31 |
| 1740632454 | Anna S Wang | Optometrist | 14494 John Humphrey Dr, Orland Park, IL 60462 | 2016-07-06 |
| 1750739793 | Carolyn Sluis | Pharmacist | 9352 W 159th Street, Orland Park, IL 60462 | 2016-06-01 |
| 1164882262 | Caring Hands Group Home of Il, Inc. | Community/Behavioral Health | 14475 John Humphrey Dr., Orland Park, IL 60462 | 2016-03-02 |
| 1639539760 | Frazierworks Community Care, Inc. | In Home Supportive Care | 14475 John Humphrey Dr Suite 300, Orland Park, IL 60462 | 2016-03-02 |
| Find all providers in zip 60462 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225164015 | Joelle Rickey | Physician Assistant | 10755 163rd Place, Orland Park, IL 60467 | 2007-02-26 |
| 1760993711 | Elizabeth Wojtowicz | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2017-10-17 |
| 1265861314 | Claire Michelle Hopkins | Physician Assistant | 9570 W 159th St, Orland Park, IL 60467-5504 | 2013-11-08 |
| 1598942823 | Sarah Ann Lund Peterson | Physician Assistant | 16105 S La Grange Rd, Orland Park, IL 60467-5503 | 2008-01-29 |
| 1295923936 | Lindsay Marie Gnade | Physician Assistant | 10755 163rd Pl, Orland Park, IL 60467-8861 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60462 |
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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.