JESSICA VIENNA WILSON (NPI# 1235754086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235754086 |
| Entity Type | Individual |
| Full Name | JESSICA VIENNA WILSON |
| Credential | L.M.T. |
| Practice Address |
13 Radnor Ave Fl 2 Croton On Hudson NY 10520-2621 |
| Practice Telephone | 2126459067 |
| Mailing Telephone | 2126459067 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 017867 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068411 | Jessica Lauren Wilson | Nutritionist | 1925 Brady Ave, Arbutus, MD 21227-4109 | 2020-09-16 |
| 1831749654 | Jessica Keely Wilson | Licensed Vocational Nurse | 3356 County Road 313, Dublin, TX 76446-6631 | 2019-09-13 |
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1346808623 | Jessica Wilson | Behavior Technician | 415 N Richard Jackson Blvd Ste 209, Panama City Beach, FL 32407-3694 | 2019-06-03 |
| 1336640820 | Jessica Wilson | Registered Nurse | 25 Connecticut Ave, Midlothian, TX 76065-6747 | 2018-02-21 |
| 1427566934 | Jessica N Wilson | Behavior Technician | 12125 Day St Ste E301, Moreno Valley, CA 92557-6704 | 2018-01-18 |
| 1912447616 | Jessica Wilson | Nurse Practitioner | 740 S Limestone J401, Lexington, KY 40536-0001 | 2017-02-28 |
| 1215387253 | Jessica Evelynne Wilson | Speech-Language Pathologist | 210 Spring Creek Ave Apt A, Bowling Green, KY 42101-5478 | 2016-06-21 |
| 1295101061 | Jessica Elaine Wilson | Marriage & Family Therapist | 983 Norumbega Dr, Monrovia, CA 91016-1826 | 2015-08-17 |
| 1073915815 | Jessica Wilson | Licensed Practical Nurse | 1292 County Road 182, Kitts Hill, OH 45645-9081 | 2014-09-24 |
| Street Address |
13 RADNOR AVE FL 2 |
| City | CROTON ON HUDSON |
| State | NY |
| Zip Code | 10520-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902569 | Emily Hoffman | Student in an Organized Health Care Education/Training Program | 34 Palmer Avenue, Croton-on-hudson, NY 10520 | 2019-10-01 |
| 1790290534 | Compass Psychiatric Np, PC | Nurse Practitioner | 420 South Riverside Ave, #283, Croton-on-hudson, NY 10520 | 2017-12-01 |
| 1942696075 | Ayo Moses | Family Medicine | 440 South Riverside Avenue, Caremount Medical PC, Croton On Hudson, NY 10520 | 2015-04-15 |
| 1265774061 | Panchetia Williams | Registered Nurse | 11-d Skytop Drive, Springval Apt, Croton On Hudson, NY 10520 | 2013-03-20 |
| 1740532951 | Ellen Marie Sandoval | Pediatrics | 35 South Riverside Avenue, The Westchester Medical Pratice PC, Croton-on-hudson, NY 10520 | 2012-10-11 |
| 1073879953 | John F. Masloski | Preventive Medicine | 2134 Quaker Ridge Rd, Croton-on-hudson, NY 10520 | 2012-04-05 |
| 1295064533 | Robert Henry Milich | Psychologist | 126 Grand Street, Croton On Hudson, NY 10520 | 2009-12-16 |
| 1538496898 | Michelle Anne Lisowski | Speech-Language Pathologist | 1392 Albany Post Road, Croton On Hudson, NY 10520 | 2009-11-06 |
| 1427282292 | Kristin M. Gallagher | Physical Therapist | Community Locations, Westchester County, Croton On Hudson, NY 10520 | 2009-05-08 |
| 1780837831 | Julia Ciobuca | Physical Therapist | 8 Crest Street, Croton On Hudson, NY 10520 | 2008-11-02 |
| Find all providers in zip 10520 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447697354 | Chrissy Fay | Massage Therapist | 13 Scenic Dr Apt R, Croton On Hudson, NY 10520-1729 | 2013-05-31 |
| 1821696600 | Noriko Pearson | Massage Therapist | 8 Laurel Hill Rd, Croton On Hudson, NY 10520-1208 | 2020-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CROTON ON HUDSON |
| Zip Code | 10520 |
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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.