JESSICA MARIE PRICE (NPI# 1225522436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225522436 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE PRICE |
| Credential | PA-C |
| Practice Address |
1010 Executive Dr Ste 250 Westmont IL 60559-6137 |
| Mailing Address |
3501 W 14 Mile Rd Apt 13 Royal Oak MI 48073-1685 |
| Practice Telephone | 6309202350 |
| Practice Fax Number | 6309202382 |
| Mailing Telephone | 8476683192 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085007105 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 5601008710 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IL PHYSICIAN ASSISTANT LICENSE | 085007105 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335242 | Jessica Price | Student in an Organized Health Care Education/Training Program | 2526 W Watrous Ave, Tampa, FL 33629-5345 | 2020-04-17 |
| 1912539982 | Jessica Carolyn Price | Specialist/Technologist | 1387 Fruit Cove Forest Rd N, St Johns, FL 32259-2810 | 2020-02-07 |
| 1952771685 | Jessica Ann Price | Speech-Language Pathologist | 527 Wrightstown Sykesville Rd Unit 15, Wrightstown, NJ 08562-1530 | 2015-10-07 |
| 1275810400 | Jessica Price | Case Manager/Care Coordinator | 6112 Oakland Park St, Meridian, MS 39307-5749 | 2011-11-16 |
| 1811282437 | Jessica Price | Physical Therapist | 16719 Frigate Dr, Friendswood, TX 77546-2336 | 2011-06-10 |
| 1467614446 | Jessica E Price | Physical Therapist | 22341 110th St, Fergus Falls, MN 56537-7834 | 2008-06-30 |
| 1538378922 | Jessica Price | Internal Medicine | 5580 Hilliard Rome Office Park, Hilliard, OH 43026-7286 | 2007-05-22 |
| 1831710128 | Jessica Price | Pediatrics | 800 Washington St, Boston, MA 02111-1552 | 2020-04-28 |
| 1417489717 | Jessica Marie Price | Nurse Practitioner | 1001 Capital Funds Ct, Nashville, TN 37217-3937 | 2017-03-28 |
| 1104362052 | Jessica Price | Nurse Practitioner | 107 Medical Center Dr, Clanton, AL 35045-2331 | 2017-01-17 |
| Street Address |
1010 EXECUTIVE DR STE 250 |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-6137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053485763 | Beatrice G Damo | Physical Therapist | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2006-11-17 |
| 1669089108 | Lauren Rooney | Physician Assistant | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2020-09-29 |
| 1215541750 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2020-09-02 |
| 1922659598 | Sarah Swientek | Specialist/Technologist | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2019-09-25 |
| 1922652197 | Donald Eugene Kuick | Physician Assistant | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2019-07-26 |
| 1255899548 | Eyal Ginesin | Specialist/Technologist, Other | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2019-03-06 |
| 1275017659 | Jacob Shapira | Specialist/Technologist, Other | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2018-09-20 |
| 1376048074 | Philip J Rosinsky | Specialist/Technologist, Other | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2018-03-26 |
| 1356608871 | Elizabeth Swanson | Physical Therapist | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2012-04-20 |
| 1407141997 | Andrew Joseph Riff | Orthopaedic Surgery | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| 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 |
|---|---|---|---|---|
| 1366671802 | Derrick Michael Brown | Physician Assistant | 1010 Executive Court, Suite 250, Westmont, IL 60559 | 2009-07-06 |
| 1669089108 | Lauren Rooney | Physician Assistant | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2020-09-29 |
| 1922652197 | Donald Eugene Kuick | Physician Assistant | 1010 Executive Dr Ste 250, Westmont, IL 60559-6137 | 2019-07-26 |
| 1699114710 | Jill Steinhoff Goeltz | Physician Assistant | 801 N Cass Ave, Suite 150, Westmont, IL 60559-1162 | 2013-06-21 |
| 1528392628 | Ryan Todd Wilkin | Physician Assistant | 700 E Ogden Ave, Suite 202, Westmont, IL 60559-1398 | 2009-09-23 |
| 1659486280 | Julie A Morgan | Physician Assistant | 1010 Executive Dr, Suite 250, Westmont, IL 60559-6135 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
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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.