JESSICA LUSH (NPI# 1194377804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194377804 |
| Entity Type | Individual |
| Full Name | JESSICA LUSH |
| Practice Address |
1475 Capitol St Ne Salem OR 97301-7850 |
| Mailing Address |
1017 Hermitage Way S Apt 15 Salem OR 97302-5098 |
| Practice Telephone | 9715991712 |
| Practice Fax Number | 8888354257 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
A0165 | OR | Speech, Language and Hearing Service Providers |
| Street Address |
1475 CAPITOL ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-7850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356698575 | Leisha Vogl | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2012-08-07 |
| 1093328189 | Kimberly Fiddler | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2020-08-28 |
| 1780205906 | Corinne Wagner | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2020-04-28 |
| 1811516966 | Emily Cutler | Occupational Therapist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2020-04-09 |
| 1437700739 | Hannah Klein | Occupational Therapist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2019-09-27 |
| 1770133514 | Kayla Lowman | Occupational Therapist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2019-09-13 |
| 1992267843 | Kerri Lyn Knight | Occupational Therapist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2019-04-01 |
| 1023508835 | Haley Theodosis | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2018-05-16 |
| 1396263505 | Leah Brakebill | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301-7850 | 2017-09-07 |
| 1851814198 | Halley Paris-baune | Speech-Language Pathologist | 1475 Capitol St Ne, Salem, OR 97301 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285901322 | Kellaine Connolly | Specialist/Technologist | 41 E Broadway, Salem Central School District, Salem, NY 12865-3100 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588227904 | Lisa M Baley | Specialist/Technologist | 3355 Fernwood Dr. #1131, Newberg, OR 97132-9713 | 2019-04-22 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1184144628 | Cynthia Rivera Castaneda | Specialist/Technologist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2017-06-26 |
| 1275053266 | Shealynna Wellman | Specialist/Technologist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-06-21 |
| 1487181871 | Nicole Wilkin | Specialist/Technologist | 2305 Se Washington St Ste 102, Milwaukie, OR 97222-7647 | 2017-05-16 |
| 1457898355 | Brieenna Bunkers | Specialist/Technologist | 7320 Sw Hunziker St, Suite 203, Tigard, OR 97223-8283 | 2017-01-30 |
| 1033665708 | Elin Bishop | Specialist/Technologist | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2016-08-31 |
| 1003260365 | Kristen Cotter | Specialist/Technologist | 37770 Upper Camp Creek Rd, Springfield, OR 97478-8753 | 2016-04-22 |
| 1346584455 | Franchesca Mecolah Moore | Specialist/Technologist | 121 Sw Salmon St Fl 11, Portland, OR 97204-2908 | 2012-11-15 |
| 1700934049 | Kimberlee A Stevens | Specialist/Technologist | 1021 Nw Highland Ave, Grants Pass, OR 97526-1146 | 2007-01-05 |
| 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.