JESSICA HERZOG (NPI# 1124372529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124372529 |
| Entity Type | Individual |
| Full Name | JESSICA HERZOG |
| Credential | APRN-CNP |
| Practice Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 6173556000 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
RN2258596 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347102 | Jessica M Herzog | Behavior Technician | 203 Kapa'a Quarry Pl. #5002, Kailua, HI 96734 | 2019-07-05 |
| 1912035221 | Jessica Lauren Madert Herzog | Pediatrics | 310 Lambs Gap, Turnpaugh Health and Wellness, Mechanicsburg, PA 17050 | 2007-02-28 |
| 1609044585 | Jessica Leigh Herzog | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2008-02-13 |
| Street Address |
300 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467877423 | Angela Welker | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-02-27 |
| 1346489150 | Patricia Catherine Fleck | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2009-02-18 |
| 1285896480 | Dorcas Anne Heebner-cardwell | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2008-06-28 |
| 1063673705 | Jacqueline M Paquette | Nurse Practitioner | 300 Longwood Ave, 7north, Boston, MA 02115-5724 | 2008-06-24 |
| 1740462936 | Marybeth Duffy Goslin | Nurse Practitioner | 750 Washington St, Nemc Box #44, Boston, MA 02111-1526 | 2007-11-29 |
| 1679773816 | Patricia Margaret Casey | Nurse Practitioner | 750 Washington St, Boston, MA 02111-1526 | 2007-07-24 |
| 1134322936 | Louisa Lea Jellison | Nurse Practitioner | 750 Washington St, Box # 300, Boston, MA 02111-1526 | 2007-06-08 |
| 1467663724 | Dawn M Mcbride | Nurse Practitioner | 750 Washington St, Boston, MA 02111-1526 | 2007-05-25 |
| 1104845692 | Linda Zaccagnini | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471008 | Krista Allison Kusinski | Nurse Practitioner | 759 Chestnut St # W2810, Springfield, MA 01107-1619 | 2014-09-30 |
| 1891114591 | Lisa Rivers | Nurse Practitioner | 141 High St, Medfield, MA 02052-3116 | 2014-04-09 |
| 1861790479 | Laura Susannah Tannenbaum | Nurse Practitioner | 100 Dow Ave, Arlington, MA 02476-7142 | 2011-03-05 |
| 1871619353 | Britt Frisk Pados | Nurse Practitioner | 162 Alder Rd, Westwood, MA 02090-3405 | 2007-03-22 |
| 1003469230 | Kristen M Derosa | Nurse Practitioner | 416 Belmont St, Worcester, MA 01604-1086 | 2019-07-17 |
| 1023538980 | Caitlin Paige Stavens-meucci | Nurse Practitioner | 119 Belmont St, Worcester, MA 01605-2903 | 2017-06-22 |
| 1790211753 | Jemimah Joella Gracia Jurado | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01107-1619 | 2017-05-11 |
| 1558720706 | Jeannie Marie Dodd | Nurse Practitioner | 759 Chestnut St, W2810, Springfield, MA 01199 | 2016-02-16 |
| 1295169209 | Allyson R Hou | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-08-27 |
| 1366883449 | Kathleen L Harris | Nurse Practitioner | 759 Chestnut St, Springfield, MA 01199-1619 | 2013-07-17 |
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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.