JESSICA RENAE HALL (NPI# 1205433505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205433505 |
| Entity Type | Individual |
| Full Name | JESSICA RENAE HALL |
| Credential | PA-C |
| Practice Address |
201 Bougainvillea Loop Honolulu HI 96818-1495 |
| Practice Telephone | 7243176627 |
| Mailing Telephone | 7243176627 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | AMD-999 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268932 | Jessica Marie Hall | Physical Therapist | 8120 Lakeview Pkwy Ste 400, Rowlett, TX 75088-4595 | 2019-07-29 |
| 1942868732 | Jessica Claire Hall | Speech-Language Pathologist | 15 Stephen Ter, Parsippany, NJ 07054-1424 | 2019-06-05 |
| 1568948958 | Jessica E Hall | Assistant Behavior Analyst | 4614 Waverly Road, Huntington, WV 25704 | 2018-07-18 |
| 1578050894 | Jessica A Hall | Counselor | 338 Leo Dr, Gardner, MA 01440-1266 | 2018-04-23 |
| 1023552825 | Jessica Hall | Behavior Technician | 10810 132nd Street Ct Nw, Gig Harbor, WA 98329-7021 | 2016-12-13 |
| 1902294747 | Jessica L Hall | Social Worker | 8337 E 81st St Apt 1210, Tulsa, OK 74133-8051 | 2015-01-01 |
| 1033530332 | Jessica Hall | Registered Nurse | 1506 Vada Rd, Bainbridge, GA 39817-8352 | 2014-01-04 |
| 1295162105 | Jessica Draney Hall | Physical Therapist | 67 Doc Perkes, Afton, WY 83110 | 2013-10-09 |
| 1710242524 | Jessica Hall | Assistant Behavior Analyst | 2843 Sw Mill Creek Way, Palm City, FL 34990 | 2012-07-08 |
| 1316279474 | Jessica Hall | Physical Therapist | 725 4th St, Marysville, CA 95901-5655 | 2010-01-31 |
| Street Address |
201 BOUGAINVILLEA LOOP |
| City | HONOLULU |
| State | HI |
| Zip Code | 96818-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1497227979 | Melanie Fujii | Behavior Technician | 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 | 2018-12-21 |
| 1174016687 | Kerestin Elizabeth Walker | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96818 | 2018-06-08 |
| 1598272411 | Juli K Kaaihue | Behavior Technician | 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 | 2017-12-30 |
| 1861904864 | Joanna Wolford | Licensed Practical Nurse | 1514 Makalapa Drive, Apo, AA 96818 | 2017-10-30 |
| 1093232662 | Lorri Kim Gomes | Social Worker | 1147 Ala Napunani St., #206, Honolulu, HI 96818 | 2017-08-24 |
| 1871960278 | Cassandra Fisher | Speech-Language Pathologist | 202a Beard Ave, Honolulu, HI 96818 | 2015-09-01 |
| 1689073959 | Eanah Whaley | Psychologist | 750 Signer Blvd Bldg 554, Honolulu, HI 96818 | 2014-08-22 |
| 1346599214 | Hawaii Mobility | Durable Medical Equipment & Medical Supplies | 4355 Lawehana #8, Honolulu, HI 96818 | 2012-09-06 |
| 1326303181 | Evelyn Ogami-glary | Massage Therapist | 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 | 2012-07-09 |
| Find all providers in zip 96818 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076685 | Emily Rose Callaway | Physician Assistant | 501 Hahaione St Apt 8j, Honolulu, HI 96825-1444 | 2020-09-04 |
| 1982161782 | Amanda Laurent | Physician Assistant | 1401 S Beretania St Ste 102, Honolulu, HI 96814-1871 | 2019-02-28 |
| 1720578693 | Ashley Marie Mccall | Physician Assistant | 900 Fort Street Mall Ste 1040, Honolulu, HI 96813-3701 | 2018-05-15 |
| 1154835353 | Arthur Burgos Domingo | Physician Assistant | 445 Seaside Ave, Honolulu, HI 96815-2640 | 2017-11-27 |
| 1922400142 | Kumiko Imai | Physician Assistant | 1456 Thurston Ave, Apt1104, Honolulu, HI 96822-3682 | 2014-09-18 |
| 1447694179 | Christopher Henry Rossetti | Physician Assistant | 1253 Makalapa Road, Honolulu, HI 96817 | 2013-04-24 |
| 1003150368 | Mandi Sue Breyman | Physician Assistant | 1329 Lusitana St Ste 202, Honolulu, HI 96813-2401 | 2012-11-26 |
| 1831336817 | Isabel Dorotea Hung Wan | Physician Assistant | 550 S. Beretania St., #405, Honolulu, HI 96813 | 2009-01-13 |
| 1437308111 | Kathleen Louise Elliott | Physician Assistant | 2045 Alaeloa St, Honolulu, HI 96821-1020 | 2008-09-17 |
| 1609940964 | Amy L Biggs | Physician Assistant | 1441 Kapiolani Blvd Ste 2020, Honolulu, HI 96814-4408 | 2006-11-20 |
| Find all providers in HONOLULU | ||||
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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.