JESSICA MARIE PATRICK (NPI# 1255956736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255956736 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE PATRICK |
| Credential | SLPA |
| Practice Address |
3941 E Baseline Rd Gilbert AZ 85234-2750 |
| Mailing Address |
6513 S Kenneth Pl Unit B Tempe AZ 85283-3835 |
| Practice Telephone | 4807875387 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| 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 |
SLP12372 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881149805 | Jessica Patrick | Speech-Language Pathologist | 37171 Sycamore St Apt 633, Newark, CA 94560-3974 | 2016-08-19 |
| 1952855926 | Jessica Evans Patrick | Nurse Practitioner | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2016-08-08 |
| 1427462662 | Jessica Patrick | Specialist/Technologist | 6480 Harrison Ave, Cincinnati, OH 45247-7961 | 2014-06-16 |
| 1790026938 | Jessica L Patrick | Nurse Practitioner | 907 18th St E, Suite 490, Tifton, GA 31794-3643 | 2013-03-13 |
| 1750681359 | Jessica Sue Patrick | Physical Therapy Assistant | 4320 196th St Sw, Suite A, Lynnwood, WA 98036-6773 | 2010-10-28 |
| Street Address |
3941 E BASELINE RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417038696 | Erica Reali | Physical Therapist | 3941 E Baseline Rd, Suite 101, Gilbert, AZ 85234 | 2006-10-17 |
| 1790047181 | Continuum Wellness Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3941 E Baseline Rd, Suite 101, Gilbert, AZ 85234-2750 | 2012-06-12 |
| 1861666836 | Nicholas John Wells | Physical Therapist | 3941 E Baseline Rd, #101, Gilbert, AZ 85234-2750 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| 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 |
|---|---|---|---|---|
| 1538776307 | Lindsay Martin | Specialist/Technologist | 195 W Juanita Ave, Gilbert, AZ 85233-2710 | 2020-09-25 |
| 1407464282 | Sierra C Wiese | Specialist/Technologist | 2450 E Guadalupe Rd # Suote109, Gilbert, AZ 85234-5116 | 2020-07-17 |
| 1801410972 | Mercedes Carmen Rivas | Specialist/Technologist | 459 N Gilbert Rd Ste A206, Gilbert, AZ 85234-4591 | 2020-06-03 |
| 1598388076 | Kylie M Huppert | Specialist/Technologist | 7305 S Roanoke St, Gilbert, AZ 85298-0179 | 2020-05-19 |
| 1629609599 | Edgar Eduardo Serrano | Specialist/Technologist | 459 N Gilbert Rd Ste A-206, Gilbert, AZ 85234-4591 | 2020-01-30 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1730724618 | Kids Therapy | Specialist/Technologist | 2161 E New Bedford Dr, Gilbert, AZ 85234-3865 | 2019-11-14 |
| 1538729868 | Shannon Joann Lemons | Specialist/Technologist | 690 E Warner Rd # R, Gilbert, AZ 85296-3054 | 2019-06-18 |
| 1851955629 | Laura Mclaughlin | Specialist/Technologist | 1062 W Park Ave, Gilbert, AZ 85233-5244 | 2019-04-27 |
| 1205398476 | Kerrie Nona Smith | Specialist/Technologist | 3945 E Lexington Ave, Gilbert, AZ 85234-4415 | 2019-04-04 |
| Find all providers in GILBERT | ||||
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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.